| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.07 | $189.86 | $189.86 | |
Cigna
| Facility | $251.00 | $251.00 | $251.00 | |
Cigna
| Professional | $183.23 | $183.23 | $251.00 | |
United
| Facility | $345.78 | $345.78 | $345.78 | |
United
| Professional | $166.03 | $230.15 | $383.58 |