| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.44 | $330.66 | $374.73 | |
Cigna
| Facility | $456.40 | $456.40 | $456.40 | |
Cigna
| Professional | $333.17 | $333.17 | $456.40 | |
United
| Facility | $360.00 | $360.00 | $360.00 | |
United
| Professional | $361.91 | $402.63 | $603.79 |