| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $1,412.54 | |
Aetna
| Professional | $61.66 | $91.20 | $100.00 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $457.09 | $457.09 | $457.09 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $67.61 | $102.33 | $144.54 |