| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.56 | $208.56 | $345.81 | |
Aetna
| Professional | $99.31 | $208.56 | $208.56 | |
Cigna
| Facility | $96.82 | $194.61 | $310.13 | |
United
| Facility | $148.97 | $148.97 | $148.97 | |
United
| Professional | $69.52 | $89.38 | $140.02 |