| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $339.32 | $384.35 | $403.95 | |
Cigna
| Facility | $329.00 | $329.00 | $329.00 | |
Cigna
| Professional | $279.64 | $279.64 | $279.64 | |
United
| Professional | $142.22 | $255.14 | $548.83 |