| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $331.13 | $380.19 | $1,659.59 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Facility | $0.65 | $436.52 | $602.56 | |
United
| Professional | $363.08 | $436.52 | $676.08 |