| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $1,584.89 | |
Aetna
| Professional | $128.82 | $204.17 | $741.31 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $1,096.48 | $1,096.48 | $1,096.48 | |
United
| Facility | $3,548.13 | $3,548.13 | $24,547.09 | |
United
| Professional | $138.04 | $213.80 | $323.59 |