| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.69 | $194.83 | $203.63 | |
Cigna
| Facility | $318.35 | $318.35 | $318.35 | |
Cigna
| Professional | $232.40 | $232.40 | $318.35 | |
United
| Professional | $196.66 | $233.38 | $363.03 |