| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.00 | $331.13 | $501.19 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $109.65 | $138.04 | $281.84 | |
United
| Facility | $389.05 | $389.05 | $389.05 | |
United
| Professional | $123.03 | $123.03 | $630.96 |