| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $371.54 | $501.19 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $251.19 | $295.12 | $302.00 | |
United
| Facility | $30.20 | $218.78 | $331.13 | |
United
| Professional | $165.96 | $251.19 | $416.87 |