| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $227.28 | $227.28 | $250.00 | |
Cigna
| Facility | $235.29 | $235.29 | $235.29 | |
Cigna
| Professional | $227.28 | $227.28 | $227.28 | |
United
| Professional | $227.28 | $240.92 | $340.92 |