| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.61 | $298.12 | $312.33 | |
Cigna
| Facility | $528.47 | $528.47 | $528.47 | |
Cigna
| Professional | $385.78 | $385.78 | $528.47 | |
United
| Professional | $334.10 | $380.34 | $503.27 |