| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.19 | $257.04 | $407.38 | |
Cigna
| Professional | $257.04 | $257.04 | $257.04 | |
United
| Facility | $2.51 | $125.89 | $234.42 | |
United
| Professional | $199.53 | $251.19 | $302.00 |