| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.11 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $53.11 | $84.26 | $272.77 | |
Cigna
| Facility | $257.91 | $257.91 | $257.91 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $85.48 | $123.47 | $202.29 |