| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $1,412.54 | |
Aetna
| Professional | $61.66 | $89.13 | $100.00 | |
Cigna
| Facility | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $436.52 | $436.52 | $436.52 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $66.07 | $102.33 | $144.54 |