| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $276.23 | $290.79 | $313.05 | |
Cigna
| Facility | $419.41 | $419.41 | $419.41 | |
Cigna
| Professional | $306.17 | $306.17 | $306.17 | |
United
| Professional | $302.35 | $358.79 | $512.41 |