| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $457.09 | $457.09 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $2.45 | $3.09 | $323.59 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $295.12 | $295.12 | $295.12 |