| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $286.83 | $319.00 | $341.47 | |
Cigna
| Facility | $347.16 | $347.16 | $455.65 | |
Cigna
| Professional | $295.08 | $295.08 | $455.65 | |
United
| Professional | $172.08 | $258.13 | $352.01 |