| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.62 | $236.62 | $286.31 | |
Cigna
| Facility | $244.78 | $244.78 | $244.78 | |
Cigna
| Professional | $236.62 | $236.62 | $236.62 | |
United
| Professional | $230.87 | $250.82 | $354.93 |