| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.33 | $455.33 | $628.78 | |
Aetna
| Professional | $216.82 | $350.53 | $455.33 | |
Cigna
| Facility | $234.89 | $272.47 | $472.13 | |
United
| Facility | $325.23 | $325.23 | $325.23 | |
United
| Professional | $151.78 | $216.82 | $361.37 |