| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $311.16 | $311.16 | $378.98 | |
Cigna
| Facility | $626.01 | $626.01 | $626.01 | |
Cigna
| Professional | $456.99 | $456.99 | $626.01 | |
United
| Professional | $312.51 | $377.20 | $628.66 |