| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.51 | $209.73 | $237.67 | |
Cigna
| Facility | $274.54 | $274.54 | $274.54 | |
Cigna
| Professional | $200.41 | $200.41 | $200.41 | |
United
| Professional | $229.56 | $287.24 | $382.98 |