| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $151.36 | $478.63 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $154.88 | $154.88 | $208.93 | |
United
| Facility | $141.25 | $141.25 | $177.83 | |
United
| Professional | $134.90 | $199.53 | $257.04 |