| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $230.71 | $254.33 | $274.64 | |
Cigna
| Facility | $240.34 | $240.34 | $240.34 | |
Cigna
| Professional | $36.46 | $204.29 | $240.34 | |
United
| Professional | $138.72 | $208.08 | $260.36 |