| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $204.17 | $831.76 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $218.78 | $218.78 | $218.78 | |
United
| Facility | $0.28 | $190.55 | $269.15 | |
United
| Professional | $204.17 | $239.88 | $338.84 |