| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.55 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $27.27 | $64.70 | $112.37 | |
Cigna
| Facility | $257.91 | $257.91 | $257.91 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $92.80 | $137.74 | $206.50 |