| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $295.12 | $1,348.96 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $316.23 | $316.23 | $316.23 | |
United
| Facility | $0.48 | $331.13 | $457.09 | |
United
| Professional | $302.00 | $354.81 | $501.19 |