| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.68 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $11.68 | $11.68 | $62.48 | |
Cigna
| Facility | $59.99 | $59.99 | $59.99 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $17.72 | $26.38 | $212.51 |