| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.16 | $227.90 | $250.69 | |
Cigna
| Facility | $225.12 | $225.12 | $237.10 | |
Cigna
| Professional | $173.08 | $173.08 | $237.10 | |
United
| Professional | $156.83 | $189.30 | $285.14 |