| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $275.42 | $1,621.81 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
Cigna
| Professional | $331.13 | $331.13 | $331.13 | |
United
| Facility | $0.49 | $407.38 | $489.78 | |
United
| Professional | $275.42 | $331.13 | $467.74 |