| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $302.00 | $1,380.38 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $363.08 | $363.08 | $363.08 | |
United
| Facility | $0.46 | $331.13 | $426.58 | |
United
| Professional | $309.03 | $363.08 | $512.86 |