| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.82 | $226.15 | $256.29 | |
Cigna
| Facility | $365.10 | $365.10 | $365.10 | |
Cigna
| Professional | $266.52 | $266.52 | $365.10 | |
United
| Professional | $247.54 | $293.74 | $412.97 |