| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.38 | $450.31 | $531.04 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $200.00 | |
United
| Professional | $321.23 | $527.20 | $879.06 |