| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $293.45 | $297.07 | $297.07 | |
Cigna
| Facility | $400.16 | $400.16 | $400.16 | |
Cigna
| Professional | $292.12 | $292.12 | $400.16 | |
United
| Professional | $264.70 | $360.11 | $542.46 |