| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $165.96 | $213.80 | |
Cigna
| Facility | $123.03 | $123.03 | $125.89 | |
Cigna
| Professional | $104.71 | $123.03 | $128.82 | |
United
| Facility | $12.88 | $85.11 | $128.82 | |
United
| Professional | $64.57 | $154.88 | $257.04 |