| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.71 | $237.16 | $247.85 | |
Cigna
| Facility | $388.32 | $388.32 | $388.32 | |
Cigna
| Professional | $330.07 | $330.07 | $388.32 | |
United
| Professional | $239.38 | $284.06 | $399.36 |