| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.36 | $513.36 | $708.93 | |
Aetna
| Professional | $244.46 | $513.36 | $513.36 | |
Cigna
| Facility | $264.83 | $307.20 | $730.93 | |
United
| Facility | $366.69 | $366.69 | $366.69 | |
United
| Professional | $171.12 | $244.46 | $407.43 |