| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $221.68 | $233.37 | $251.23 | |
Cigna
| Facility | $393.88 | $393.88 | $393.88 | |
Cigna
| Professional | $287.52 | $287.52 | $287.52 | |
United
| Professional | $242.64 | $287.94 | $447.89 |