| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.97 | $165.97 | $232.96 | |
Cigna
| Facility | $260.88 | $260.88 | $260.88 | |
Cigna
| Professional | $190.44 | $190.44 | $260.88 | |
United
| Professional | $134.13 | $215.58 | $737.73 |