| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.66 | $192.77 | $201.33 | |
Cigna
| Facility | $279.26 | $279.26 | $279.26 | |
Cigna
| Professional | $203.86 | $203.86 | $279.26 | |
United
| Facility | $287.68 | $287.68 | $287.68 | |
United
| Professional | $194.45 | $230.75 | $324.41 |