| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $186.21 | $302.00 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $407.38 | $407.38 | $478.63 | |
United
| Facility | $199.53 | $199.53 | $239.88 | |
United
| Professional | $104.71 | $288.40 | $537.03 |