| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $138.04 | $691.83 | |
Cigna
| Facility | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $194.98 | $194.98 | $194.98 | |
United
| Facility | $0.25 | $204.17 | $229.09 | |
United
| Professional | $141.25 | $165.96 | $251.19 |