| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $1,412.54 | |
Aetna
| Professional | $83.18 | $158.49 | $177.83 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Facility | $3,548.13 | $3,548.13 | $12,302.69 | |
United
| Professional | $114.82 | $162.18 | $245.47 |