| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.47 | $265.10 | $300.42 | |
Cigna
| Facility | $329.53 | $329.53 | $329.53 | |
Cigna
| Professional | $240.56 | $240.56 | $329.53 | |
United
| Professional | $214.24 | $322.80 | $484.08 |