| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $276.63 | $291.20 | $313.49 | |
Cigna
| Facility | $420.01 | $420.01 | $420.01 | |
Cigna
| Professional | $306.61 | $306.61 | $420.01 | |
United
| Professional | $302.77 | $336.84 | $505.14 |