| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $422.16 | $438.70 | $492.85 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $22.44 | $108.80 | $128.00 | |
United
| Professional | $273.85 | $410.78 | $690.16 |