| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.19 | $275.31 | $400.64 | |
Cigna
| Facility | $459.90 | $459.90 | $459.90 | |
Cigna
| Professional | $335.73 | $335.73 | $335.73 | |
United
| Professional | $301.35 | $357.60 | $502.75 |