| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.88 | $485.47 | $485.47 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $397.11 | $671.95 | $1,097.50 | |
United
| Professional | $245.66 | $350.94 | $1,286.78 |