| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.07 | $286.60 | $301.27 | |
Cigna
| Facility | $332.93 | $332.93 | $332.93 | |
Cigna
| Professional | $39.86 | $282.99 | $332.93 | |
United
| Professional | $155.35 | $233.02 | $382.45 |