| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $287.48 | $302.63 | $325.79 | |
Cigna
| Facility | $555.76 | $555.76 | $555.76 | |
Cigna
| Professional | $405.70 | $405.70 | $555.76 | |
United
| Professional | $314.66 | $373.39 | $1,277.80 |