| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $1,412.54 | |
Aetna
| Professional | $134.90 | $199.53 | $218.78 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Professional | $977.24 | $977.24 | $977.24 | |
United
| Facility | $691.83 | $691.83 | $2,454.71 | |
United
| Professional | $147.91 | $223.87 | $316.23 |