| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $1,412.54 | |
Aetna
| Professional | $30.90 | $46.77 | $91.20 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $295.12 | $295.12 | $295.12 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $10.47 | $18.20 | $131.83 |