| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.91 | $241.92 | $291.27 | |
Cigna
| Facility | $324.00 | $324.00 | $324.00 | |
Cigna
| Professional | $1,357.99 | $1,357.99 | $1,357.99 | |
United
| Professional | $176.23 | $291.13 | $612.61 |