| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.67 | $313.79 | $400.72 | |
Cigna
| Facility | $487.65 | $487.65 | $487.65 | |
Cigna
| Professional | $359.63 | $359.63 | $359.63 | |
United
| Professional | $242.73 | $304.63 | $658.40 |