| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $112.20 | $371.54 | |
Cigna
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
Cigna
| Professional | $120.23 | $162.18 | $354.81 | |
United
| Professional | $380.19 | $380.19 | $380.19 |