| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.18 | $215.18 | $310.77 | |
Cigna
| Facility | $373.35 | $373.35 | $373.35 | |
Cigna
| Professional | $272.55 | $272.55 | $373.35 | |
United
| Professional | $216.11 | $260.85 | $392.93 |