| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $400.00 | $400.00 | $425.00 | |
Cigna
| Facility | $432.81 | $432.81 | $432.81 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
United
| Professional | $500.00 | $500.00 | $500.00 |