| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $279.11 | $331.12 | $375.25 | |
Cigna
| Facility | $402.56 | $402.56 | $402.56 | |
Cigna
| Professional | $293.87 | $293.87 | $402.56 | |
United
| Professional | $362.42 | $430.06 | $666.10 |