| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $57.54 | $95.50 | $112.20 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $93.33 | $117.49 | $204.17 |