| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $1,412.54 | |
Aetna
| Professional | $186.21 | $257.04 | $302.00 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $1,412.54 | $1,412.54 | $1,412.54 | |
United
| Facility | $3,548.13 | $3,548.13 | $12,302.69 | |
United
| Professional | $17.38 | $309.03 | $501.19 |