| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.42 | $428.07 | $465.98 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $60.41 | $127.50 | $150.00 | |
United
| Professional | $187.18 | $280.77 | $532.58 |