| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.21 | $239.15 | $239.15 | |
Cigna
| Facility | $379.04 | $379.04 | $379.04 | |
Cigna
| Professional | $276.70 | $276.70 | $276.70 | |
United
| Facility | $259.82 | $259.82 | $259.82 | |
United
| Professional | $235.48 | $289.91 | $393.05 |