| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.71 | $185.87 | $349.97 | |
Cigna
| Facility | $156.38 | $156.38 | $156.38 | |
Cigna
| Professional | $124.90 | $188.70 | $392.77 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $178.27 | $216.84 | $493.70 |