| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.24 | $136.24 | $276.85 | |
Cigna
| Facility | $409.07 | $409.07 | $409.07 | |
Cigna
| Professional | $347.71 | $347.71 | $409.07 | |
United
| Professional | $173.23 | $260.77 | $444.63 |