| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.39 | $349.10 | $497.97 | |
Cigna
| Facility | $134.00 | $134.00 | $134.00 | |
Cigna
| Professional | $113.90 | $134.00 | $134.00 | |
United
| Professional | $309.19 | $502.91 | $838.55 |