| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $295.12 | $1,737.80 | |
Cigna
| Facility | $407.38 | $407.38 | $407.38 | |
Cigna
| Professional | $302.00 | $302.00 | $302.00 | |
United
| Facility | $0.52 | $331.13 | $489.78 | |
United
| Professional | $295.12 | $354.81 | $501.19 |