| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.61 | $250.71 | $250.71 | |
Cigna
| Facility | $315.73 | $315.73 | $350.29 | |
Cigna
| Professional | $230.48 | $230.48 | $350.29 | |
United
| Facility | $243.26 | $243.26 | $243.26 | |
United
| Professional | $172.54 | $214.10 | $322.50 |