| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.37 | $247.18 | $271.89 | |
Cigna
| Facility | $261.02 | $261.02 | $264.44 | |
Cigna
| Professional | $193.04 | $193.04 | $264.44 | |
United
| Professional | $170.10 | $205.32 | $752.84 |