| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.70 | $266.61 | $299.01 | |
Cigna
| Facility | $386.20 | $386.20 | $386.20 | |
Cigna
| Professional | $281.93 | $281.93 | $281.93 | |
United
| Professional | $268.93 | $299.18 | $448.66 |