| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.30 | $395.30 | $444.74 | |
Cigna
| Facility | $496.34 | $496.34 | $496.34 | |
Cigna
| Professional | $362.33 | $362.33 | $362.33 | |
United
| Professional | $398.74 | $473.17 | $736.02 |