| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $229.09 | $1,288.25 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
United
| Facility | $0.41 | $346.74 | $416.87 | |
United
| Professional | $234.42 | $275.42 | $398.11 |