| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.86 | $220.86 | $251.07 | |
Cigna
| Facility | $335.34 | $335.34 | $335.34 | |
Cigna
| Professional | $244.80 | $244.80 | $335.34 | |
United
| Professional | $221.82 | $267.73 | $403.31 |