| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.04 | $200.10 | $226.77 | |
Cigna
| Facility | $311.77 | $311.77 | $311.77 | |
Cigna
| Professional | $227.60 | $227.60 | $311.77 | |
United
| Professional | $219.01 | $259.89 | $404.28 |