| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.37 | $313.10 | $337.35 | |
Cigna
| Facility | $327.62 | $327.62 | $327.62 | |
Cigna
| Professional | $42.42 | $278.48 | $327.62 | |
United
| Professional | $230.52 | $231.92 | $387.43 |