| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $299.88 | $321.27 | $357.00 | |
Cigna
| Facility | $382.81 | $382.81 | $382.81 | |
Cigna
| Professional | $325.39 | $325.39 | $382.81 | |
United
| Professional | $147.38 | $221.08 | $411.52 |