| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $271.31 | $294.20 | $307.47 | |
Cigna
| Facility | $436.96 | $436.96 | $436.96 | |
Cigna
| Professional | $318.98 | $318.98 | $436.96 | |
United
| Professional | $296.95 | $352.40 | $495.43 |