| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.23 | $335.54 | $398.02 | |
Cigna
| Facility | $644.36 | $644.36 | $644.36 | |
Cigna
| Professional | $470.38 | $470.38 | $644.36 | |
United
| Professional | $338.46 | $401.64 | $564.66 |