| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $204.17 | $912.01 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $213.80 | $213.80 | $213.80 | |
United
| Facility | $0.33 | $275.42 | $316.23 | |
United
| Professional | $208.93 | $245.47 | $346.74 |