| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.58 | $291.10 | $314.99 | |
Cigna
| Facility | $331.53 | $331.53 | $331.53 | |
Cigna
| Professional | $281.80 | $281.80 | $409.54 | |
United
| Professional | $158.72 | $238.09 | $332.83 |