| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $234.42 | $1,096.48 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Facility | $0.33 | $275.42 | $309.03 | |
United
| Professional | $234.42 | $281.84 | $398.11 |