| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $190.55 | $616.60 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
United
| Facility | $0.32 | $229.09 | $346.74 | |
United
| Professional | $208.93 | $245.47 | $346.74 |