| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $319.35 | $349.35 | $395.73 | |
Cigna
| Facility | $330.77 | $330.77 | $396.27 | |
Cigna
| Professional | $281.14 | $281.14 | $396.27 | |
United
| Professional | $170.09 | $280.47 | $601.16 |