| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.55 | $165.53 | $178.74 | |
Cigna
| Facility | $239.78 | $239.78 | $239.78 | |
Cigna
| Professional | $175.04 | $175.04 | $239.78 | |
United
| Facility | $247.02 | $247.02 | $247.02 | |
United
| Professional | $166.97 | $198.14 | $278.56 |