| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.29 | $253.69 | $368.08 | |
Cigna
| Facility | $372.88 | $372.88 | $372.88 | |
Cigna
| Professional | $272.20 | $272.20 | $372.88 | |
United
| Professional | $250.97 | $279.20 | $463.26 |