| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.04 | $271.98 | $286.95 | |
Cigna
| Facility | $277.51 | $277.51 | $371.51 | |
Cigna
| Professional | $235.88 | $235.88 | $371.51 | |
United
| Professional | $201.85 | $216.97 | $339.24 |