| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.42 | $331.13 | $389.05 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
United
| Facility | $389.05 | $389.05 | $389.05 | |
United
| Professional | $165.96 | $165.96 | $389.05 |