| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.20 | $181.43 | $216.69 | |
Cigna
| Facility | $280.67 | $280.67 | $280.67 | |
Cigna
| Professional | $204.89 | $204.89 | $280.67 | |
United
| Professional | $183.01 | $228.98 | $305.31 |