| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $344.33 | $344.33 | $344.33 | |
Cigna
| Facility | $115.20 | $115.20 | $115.20 | |
Cigna
| Professional | $481.76 | $481.76 | $481.76 | |
United
| Professional | $189.34 | $557.53 | $585.21 |