| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.06 | $391.07 | $434.47 | |
Cigna
| Facility | $380.89 | $380.89 | $380.89 | |
Cigna
| Professional | $391.07 | $391.07 | $391.07 | |
United
| Professional | $354.18 | $414.53 | $500.57 |