| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.57 | $457.64 | $500.25 | |
Cigna
| Facility | $370.80 | $370.80 | $370.80 | |
Cigna
| Professional | $63.74 | $315.18 | $370.80 | |
United
| Professional | $283.74 | $357.11 | $684.52 |