| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $177.83 | $1,412.54 | |
Aetna
| Professional | $120.23 | $177.83 | $194.98 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $891.25 | $891.25 | $891.25 | |
United
| Facility | $691.83 | $691.83 | $2,454.71 | |
United
| Professional | $131.83 | $199.53 | $281.84 |