| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $257.27 | $272.73 | |
Cigna
| Facility | $265.97 | $265.97 | $265.97 | |
Cigna
| Professional | $226.07 | $226.07 | $226.07 | |
United
| Professional | $137.47 | $206.20 | $314.95 |