| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.80 | $243.79 | $254.76 | |
Cigna
| Facility | $362.03 | $362.03 | $362.03 | |
Cigna
| Professional | $264.27 | $264.27 | $362.03 | |
United
| Professional | $246.05 | $291.98 | $410.50 |