| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.35 | $316.35 | $365.42 | |
Cigna
| Facility | $450.57 | $450.57 | $450.57 | |
Cigna
| Professional | $328.92 | $328.92 | $450.57 | |
United
| Professional | $298.04 | $383.49 | $577.66 |