| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.37 | $343.37 | $439.79 | |
Cigna
| Facility | $499.17 | $499.17 | $499.17 | |
Cigna
| Professional | $364.39 | $364.39 | $499.17 | |
United
| Professional | $318.95 | $416.24 | $627.00 |