| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.53 | $153.53 | $215.22 | |
Cigna
| Facility | $291.02 | $291.02 | $291.02 | |
Cigna
| Professional | $212.45 | $212.45 | $291.02 | |
United
| Facility | $0.30 | $184.46 | $184.46 | |
United
| Professional | $154.19 | $186.11 | $280.36 |