| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $382.54 | $436.69 | $455.40 | |
Cigna
| Facility | $459.79 | $459.79 | $459.79 | |
Cigna
| Professional | $390.82 | $390.82 | $459.79 | |
United
| Professional | $300.23 | $300.23 | $602.13 |