| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.13 | $312.74 | $312.74 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $433.20 | $467.69 | |
United
| Professional | $215.23 | $283.82 | $427.53 |