| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $451.47 | $469.16 | $527.05 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $170.00 | $200.00 | |
United
| Professional | $292.86 | $439.30 | $651.25 |