| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $360.01 | $378.99 | $407.99 | |
Cigna
| Facility | $673.11 | $673.11 | $673.11 | |
Cigna
| Professional | $491.37 | $491.37 | $673.11 | |
United
| Professional | $394.05 | $438.38 | $657.41 |