| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.35 | $181.43 | $195.32 | |
Cigna
| Facility | $327.20 | $327.20 | $327.20 | |
Cigna
| Professional | $238.86 | $238.86 | $327.20 | |
United
| Facility | $0.33 | $276.08 | $276.08 | |
United
| Professional | $188.65 | $233.49 | $314.73 |