| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $274.97 | $289.45 | $311.61 | |
Cigna
| Facility | $375.74 | $375.74 | $375.74 | |
Cigna
| Professional | $319.38 | $319.38 | $319.38 | |
United
| Professional | $300.95 | $358.64 | $540.95 |