| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $275.42 | $1,202.26 | |
Cigna
| Facility | $389.05 | $389.05 | $389.05 | |
Cigna
| Professional | $281.84 | $281.84 | $281.84 | |
United
| Facility | $0.48 | $398.11 | $446.68 | |
United
| Professional | $269.15 | $323.59 | $457.09 |