| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $154.88 | $891.25 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $177.83 | $177.83 | $177.83 | |
United
| Facility | $0.28 | $234.42 | $281.84 | |
United
| Professional | $158.49 | $186.21 | $269.15 |