| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.48 | $148.54 | $575.67 | |
Cigna
| Facility | $219.01 | $219.01 | $219.01 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
United
| Professional | $182.79 | $215.05 | $322.58 |