| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.85 | $303.00 | $303.00 | |
Cigna
| Facility | $315.25 | $315.25 | $315.25 | |
Cigna
| Professional | $230.13 | $230.13 | $315.25 | |
United
| Professional | $228.53 | $274.99 | $458.32 |