| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.63 | $278.48 | $334.65 | |
Cigna
| Facility | $389.66 | $389.66 | $389.66 | |
Cigna
| Professional | $284.45 | $284.45 | $389.66 | |
United
| Professional | $280.89 | $333.33 | $476.06 |