| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.14 | $253.85 | $273.27 | |
Cigna
| Facility | $379.03 | $379.03 | $379.03 | |
Cigna
| Professional | $276.69 | $276.69 | $276.69 | |
United
| Professional | $263.93 | $313.20 | $447.32 |