| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $325.52 | $325.52 | $433.58 | |
Cigna
| Facility | $494.25 | $494.25 | $494.25 | |
Cigna
| Professional | $360.80 | $360.80 | $494.25 | |
United
| Professional | $326.94 | $394.61 | $1,446.92 |