| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.52 | $318.52 | $384.08 | |
Cigna
| Facility | $326.93 | $326.93 | $326.93 | |
Cigna
| Professional | $318.52 | $318.52 | $318.52 | |
United
| Professional | $318.05 | $337.64 | $407.72 |