| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.42 | $302.00 | $1,698.24 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $302.00 | $302.00 | $302.00 | |
United
| Facility | $0.51 | $426.58 | $478.63 | |
United
| Professional | $288.40 | $346.74 | $489.78 |