| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $380.19 | $1,659.59 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $363.08 | |
United
| Facility | $0.65 | $524.81 | $602.56 | |
United
| Professional | $380.19 | $457.09 | $630.96 |