| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $756.00 | $1,044.00 | |
Aetna
| Professional | $360.00 | $582.00 | $756.00 | |
Cigna
| Facility | $390.00 | $452.40 | $1,076.40 | |
United
| Facility | $540.00 | $540.00 | $540.00 | |
United
| Professional | $252.00 | $360.00 | $600.70 |