| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $263.03 | $1,047.13 | |
Aetna
| Professional | $208.93 | $269.15 | $338.84 | |
Cigna
| Professional | $426.58 | $426.58 | $512.86 | |
United
| Facility | $147.91 | $316.23 | $346.74 | |
United
| Professional | $123.03 | $147.91 | $524.81 |