| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $1,412.54 | |
Aetna
| Professional | $12.88 | $58.88 | $131.83 | |
Cigna
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Professional | $630.96 | $630.96 | $630.96 | |
United
| Facility | $3,548.13 | $3,548.13 | $12,302.69 | |
United
| Professional | $22.39 | $38.90 | $478.63 |