| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.15 | $228.60 | $246.09 | |
Cigna
| Facility | $402.09 | $402.09 | $402.09 | |
Cigna
| Professional | $293.52 | $293.52 | $402.09 | |
United
| Facility | $260.00 | $260.00 | $260.00 | |
United
| Professional | $237.68 | $264.42 | $396.54 |