| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $144.54 | $630.96 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
United
| Facility | $0.21 | $154.88 | $194.98 | |
United
| Professional | $144.54 | $173.78 | $239.88 |