| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.30 | $203.30 | $243.33 | |
Cigna
| Facility | $387.54 | $387.54 | $387.54 | |
Cigna
| Professional | $282.89 | $282.89 | $387.54 | |
United
| Professional | $222.52 | $246.45 | $410.75 |