| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $251.19 | $309.03 | |
Cigna
| Facility | $269.15 | $269.15 | $269.15 | |
Cigna
| Professional | $269.15 | $269.15 | $269.15 | |
United
| Facility | $218.78 | $275.42 | $331.13 | |
United
| Professional | $257.04 | $263.03 | $302.00 |