| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $269.15 | |
Aetna
| Professional | $257.04 | $269.15 | $323.59 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
United
| Facility | $323.59 | $323.59 | $323.59 | |
United
| Professional | $257.04 | $257.04 | $331.13 |