| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.07 | $323.63 | $331.80 | |
Cigna
| Facility | $310.87 | $310.87 | $416.18 | |
Cigna
| Professional | $264.24 | $264.24 | $416.18 | |
United
| Professional | $163.21 | $244.82 | $409.24 |