| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $292.23 | $300.95 | $362.37 | |
Cigna
| Facility | $403.24 | $403.24 | $403.24 | |
Cigna
| Professional | $1,690.08 | $1,690.08 | $1,690.08 | |
United
| Professional | $234.98 | $362.30 | $857.68 |