| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $181.97 | $234.42 | |
Cigna
| Facility | $177.83 | $177.83 | $177.83 | |
Cigna
| Professional | $151.36 | $177.83 | $186.21 | |
United
| Facility | $15.14 | $95.50 | $147.91 | |
United
| Professional | $74.13 | $186.21 | $245.47 |