| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.34 | $204.68 | $231.96 | |
Cigna
| Facility | $315.70 | $315.70 | $315.70 | |
Cigna
| Professional | $230.47 | $230.47 | $315.70 | |
United
| Professional | $224.03 | $265.85 | $413.53 |