| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.49 | $298.33 | $575.28 | |
Cigna
| Facility | $358.29 | $358.29 | $358.29 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
United
| Professional | $676.80 | $676.80 | $676.80 |