| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.45 | $170.45 | $216.61 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $382.03 | |
United
| Professional | $222.29 | $280.81 | $440.54 |