| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.73 | $265.39 | $277.33 | |
Cigna
| Facility | $401.27 | $401.27 | $401.27 | |
Cigna
| Professional | $292.93 | $292.93 | $401.27 | |
United
| Professional | $267.87 | $317.87 | $446.90 |