| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $360.25 | $379.24 | $408.26 | |
Cigna
| Facility | $612.94 | $612.94 | $612.94 | |
Cigna
| Professional | $447.45 | $447.45 | $612.94 | |
United
| Facility | $0.70 | $577.08 | $577.08 | |
United
| Professional | $394.31 | $469.88 | $727.84 |