| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.34 | $364.34 | $529.87 | |
Cigna
| Facility | $501.14 | $501.14 | $501.14 | |
Cigna
| Professional | $365.83 | $365.83 | $501.14 | |
United
| Professional | $363.30 | $441.67 | $598.79 |