| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.35 | $215.35 | $244.05 | |
Cigna
| Facility | $338.50 | $338.50 | $338.50 | |
Cigna
| Professional | $247.11 | $247.11 | $338.50 | |
United
| Professional | $235.71 | $275.27 | $393.25 |