| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.10 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $52.10 | $82.75 | $175.86 | |
Cigna
| Facility | $257.91 | $257.91 | $257.91 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $84.11 | $125.26 | $187.18 |