| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.13 | $234.13 | $271.95 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $237.52 | $237.52 | |
United
| Professional | $267.16 | $303.07 | $473.03 |