| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $332.83 | $357.19 | $377.18 | |
Cigna
| Facility | $649.92 | $649.92 | $649.92 | |
Cigna
| Professional | $474.45 | $474.45 | $649.92 | |
United
| Professional | $364.29 | $432.30 | $672.44 |