| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $234.42 | $691.83 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Facility | $0.38 | $263.03 | $354.81 | |
United
| Professional | $234.42 | $281.84 | $398.11 |