| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $165.96 | $489.78 | |
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Facility | $0.30 | $186.21 | $208.93 | |
United
| Professional | $181.97 | $218.78 | $309.03 |