| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $204.17 | $316.23 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $177.83 | $208.93 | $208.93 | |
United
| Facility | $12.30 | $123.03 | $234.42 | |
United
| Professional | $131.83 | $177.83 | $263.03 |