| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $194.98 | $1,023.29 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
United
| Facility | $0.33 | $281.84 | $316.23 | |
United
| Professional | $190.55 | $223.87 | $346.74 |