| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $400.11 | $424.86 | $476.33 | |
Cigna
| Facility | $429.00 | $429.00 | $429.00 | |
Cigna
| Professional | $59.62 | $364.65 | $429.00 | |
United
| Professional | $252.21 | $317.55 | $608.82 |