| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.92 | $177.81 | $201.50 | |
Cigna
| Facility | $299.52 | $299.52 | $299.52 | |
Cigna
| Professional | $218.65 | $218.65 | $299.52 | |
United
| Professional | $194.62 | $230.94 | $359.23 |