| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.00 | $198.00 | $198.00 | |
Aetna
| Professional | $10.14 | $16.98 | $244.00 | |
Cigna
| Facility | $115.56 | $151.38 | $151.38 | |
United
| Facility | $130.00 | $345.00 | $768.00 | |
United
| Professional | $13.26 | $17.62 | $28.80 |