| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $322.11 | $368.32 | $383.46 | |
Cigna
| Facility | $234.00 | $234.00 | $234.00 | |
Cigna
| Professional | $198.90 | $198.90 | $198.90 | |
United
| Professional | $194.20 | $291.29 | $313.44 |