| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.07 | $190.28 | $215.63 | |
Cigna
| Facility | $366.26 | $366.26 | $366.26 | |
Cigna
| Professional | $267.37 | $267.37 | $366.26 | |
United
| Professional | $208.27 | $231.70 | $347.46 |