| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $208.93 | $309.03 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $173.78 | $173.78 | $204.17 | |
United
| Facility | $16.22 | $138.04 | $269.15 | |
United
| Professional | $158.49 | $218.78 | $323.59 |