| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.48 | $363.48 | $384.52 | |
Cigna
| Facility | $524.34 | $524.34 | $524.34 | |
Cigna
| Professional | $382.77 | $382.77 | $524.34 | |
United
| Professional | $346.84 | $440.62 | $663.75 |