| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $392.63 | $392.63 | $470.48 | |
Cigna
| Facility | $392.46 | $392.46 | $392.46 | |
Cigna
| Professional | $392.63 | $392.63 | $392.63 | |
United
| Professional | $330.45 | $416.19 | $588.95 |