| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.02 | $191.02 | $210.73 | |
Cigna
| Facility | $352.55 | $352.55 | $352.55 | |
Cigna
| Professional | $257.36 | $257.36 | $352.55 | |
United
| Professional | $190.08 | $231.56 | $348.81 |