| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.56 | $350.44 | $360.01 | |
Cigna
| Facility | $292.50 | $292.50 | $292.50 | |
Cigna
| Professional | $248.63 | $248.63 | $439.28 | |
United
| Professional | $177.48 | $266.20 | $401.01 |