| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $151.36 | $281.84 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Facility | $0.25 | $151.36 | $199.53 | |
United
| Professional | $151.36 | $190.55 | $251.19 |