| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.56 | $338.05 | $473.54 | |
Cigna
| Facility | $292.50 | $292.50 | $651.12 | |
Cigna
| Professional | $248.63 | $292.50 | $661.50 | |
Hally Health
| Professional | $54.50 | $60.56 | $90.84 | |
United
| Professional | $209.18 | $292.68 | $522.91 |