| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $348.00 | |
Aetna
| Professional | $128.00 | $128.00 | $174.00 | |
Cigna
| Facility | $130.00 | $150.80 | $358.80 | |
United
| Facility | $180.00 | $180.00 | $180.00 | |
United
| Professional | $84.00 | $120.00 | $200.00 |