| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.70 | $266.61 | $299.01 | |
Cigna
| Facility | $380.63 | $380.63 | $380.63 | |
Cigna
| Professional | $277.86 | $277.86 | $380.63 | |
United
| Professional | $198.56 | $299.18 | $455.78 |