| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.24 | $315.24 | $351.00 | |
Cigna
| Facility | $550.80 | $550.80 | $550.80 | |
Cigna
| Professional | $402.09 | $402.09 | $550.80 | |
United
| Professional | $316.60 | $382.15 | $584.78 |