| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $393.75 | $409.31 | $468.75 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $58.97 | $269.23 | $316.74 | |
United
| Professional | $180.55 | $270.83 | $514.10 |