| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.73 | $253.16 | $279.60 | |
Cigna
| Facility | $483.85 | $483.85 | $483.85 | |
Cigna
| Professional | $353.21 | $353.21 | $483.85 | |
United
| Facility | $389.42 | $389.42 | $389.42 | |
United
| Professional | $270.05 | $300.44 | $450.53 |