| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $243.55 | $256.38 | $276.00 | |
Cigna
| Facility | $400.78 | $400.78 | $400.78 | |
Cigna
| Professional | $292.57 | $292.57 | $400.78 | |
United
| Professional | $266.57 | $316.33 | $492.06 |