| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $1,071.52 | $2,454.71 | |
Aetna
| Professional | $239.88 | $380.19 | $977.24 | |
Cigna
| Facility | $3,235.94 | $3,235.94 | $3,235.94 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $346.74 | $457.09 | $758.58 |