| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $414.34 | $456.82 | $493.27 | |
Cigna
| Facility | $461.38 | $461.38 | $461.38 | |
Cigna
| Professional | $392.17 | $392.17 | $392.17 | |
United
| Professional | $239.90 | $374.72 | $403.19 |