| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $109.65 | $446.68 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Facility | $0.18 | $151.36 | $169.82 | |
United
| Professional | $107.15 | $128.82 | $199.53 |