| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.20 | $245.78 | $278.52 | |
Cigna
| Facility | $298.85 | $298.85 | $298.85 | |
Cigna
| Professional | $218.16 | $218.16 | $298.85 | |
United
| Professional | $269.02 | $297.94 | $367.12 |