| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $380.19 | $1,698.24 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $457.09 | $457.09 | $457.09 | |
United
| Facility | $0.62 | $512.86 | $588.84 | |
United
| Professional | $389.05 | $457.09 | $645.65 |