| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.46 | $253.36 | $253.36 | |
Cigna
| Facility | $253.36 | $253.36 | $253.36 | |
Cigna
| Professional | $253.36 | $253.36 | $253.36 | |
United
| Professional | $248.39 | $248.39 | $546.46 |