| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.68 | $203.55 | $209.15 | |
Cigna
| Facility | $204.05 | $204.05 | $273.18 | |
Cigna
| Professional | $173.44 | $173.44 | $173.44 | |
United
| Facility | $18.53 | $138.94 | $266.86 | |
United
| Professional | $105.44 | $158.15 | $261.07 |