| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $327.90 | $327.90 | $452.51 | |
Cigna
| Facility | $460.00 | $460.00 | $460.00 | |
Cigna
| Professional | $335.80 | $335.80 | $460.00 | |
United
| Professional | $283.10 | $397.49 | $1,457.48 |