| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.01 | $413.83 | $500.00 | |
Cigna
| Facility | $240.00 | $455.52 | $504.00 | |
Cigna
| Professional | $362.54 | $492.79 | $685.54 | |
Qualchoice
| Professional | $399.42 | $399.42 | $575.00 | |
United
| Professional | $317.26 | $400.83 | $694.69 |