| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.69 | $202.70 | $292.25 | |
Cigna
| Facility | $345.03 | $345.03 | $345.03 | |
Cigna
| Professional | $251.87 | $251.87 | $345.03 | |
United
| Professional | $200.39 | $242.07 | $403.45 |