| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.19 | $308.10 | $327.73 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $411.98 | $564.36 | |
United
| Professional | $316.52 | $352.13 | $528.07 |