| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.41 | $191.41 | $213.13 | |
Cigna
| Facility | $290.63 | $290.63 | $290.63 | |
Cigna
| Professional | $212.16 | $212.16 | $290.63 | |
United
| Facility | $444.22 | $444.22 | $444.22 | |
United
| Professional | $192.24 | $232.04 | $349.53 |