| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $199.53 | $616.60 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Facility | $0.35 | $218.78 | $288.40 | |
United
| Professional | $218.78 | $257.04 | $467.74 |