| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.67 | $206.67 | $243.43 | |
Cigna
| Facility | $313.79 | $313.79 | $313.79 | |
Cigna
| Professional | $229.07 | $229.07 | $313.79 | |
United
| Professional | $207.56 | $250.53 | $377.39 |