| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.83 | $418.58 | $480.92 | |
Cigna
| Facility | $583.49 | $583.49 | $583.49 | |
Cigna
| Professional | $425.95 | $425.95 | $583.49 | |
United
| Facility | $466.72 | $466.72 | $466.72 | |
United
| Professional | $458.15 | $543.66 | $764.34 |