| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $158.49 | $208.93 | |
Cigna
| Facility | $173.78 | $173.78 | $257.04 | |
Cigna
| Professional | $19.95 | $173.78 | $309.03 | |
United
| Facility | $11.22 | $81.28 | $158.49 | |
United
| Professional | $77.62 | $117.49 | $186.21 |