| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $190.55 | $933.25 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Facility | $0.31 | $257.04 | $295.12 | |
United
| Professional | $190.55 | $234.42 | $346.74 |