| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.23 | $328.23 | $453.27 | |
Aetna
| Professional | $156.30 | $252.69 | $328.23 | |
Cigna
| Facility | $169.33 | $196.42 | $389.46 | |
United
| Facility | $234.45 | $234.45 | $234.45 | |
United
| Professional | $109.41 | $156.30 | $260.50 |