| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.39 | $270.54 | $292.13 | |
Cigna
| Facility | $38.92 | $219.78 | $219.78 | |
Cigna
| Professional | $186.81 | $186.81 | $186.81 | |
United
| Professional | $149.75 | $224.62 | $277.16 |