| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $257.04 | $467.74 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $239.88 | $239.88 | $239.88 | |
United
| Facility | $0.42 | $346.74 | $363.08 | |
United
| Professional | $263.03 | $331.13 | $478.63 |