| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.65 | $202.50 | $218.63 | |
Cigna
| Facility | $240.50 | $240.50 | $240.50 | |
Cigna
| Professional | $29.06 | $204.43 | $240.50 | |
United
| Professional | $109.70 | $168.25 | $268.95 |