| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $389.05 | $457.09 | $1,000.00 | |
Cigna
| Facility | $588.84 | $588.84 | $588.84 | |
Cigna
| Professional | $426.58 | $426.58 | $426.58 | |
United
| Facility | $0.74 | $467.74 | $707.95 | |
United
| Professional | $457.09 | $549.54 | $758.58 |