| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $345.30 | $380.69 | $411.07 | |
Cigna
| Facility | $353.90 | $353.90 | $353.90 | |
Cigna
| Professional | $300.82 | $300.82 | $300.82 | |
United
| Professional | $199.91 | $312.27 | $335.99 |