| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $223.87 | $776.25 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
United
| Facility | $0.41 | $257.04 | $346.74 | |
United
| Professional | $245.47 | $288.40 | $426.58 |