| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.79 | $204.71 | $213.95 | |
Cigna
| Facility | $294.27 | $294.27 | $294.27 | |
Cigna
| Professional | $214.82 | $214.82 | $294.27 | |
United
| Facility | $0.33 | $276.79 | $276.79 | |
United
| Professional | $152.57 | $229.88 | $344.74 |