| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.33 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $104.33 | $165.44 | $317.61 | |
Cigna
| Facility | $726.58 | $726.58 | $726.58 | |
United
| Facility | $330.00 | $811.00 | $1,574.00 | |
United
| Professional | $166.85 | $243.60 | $400.34 |