| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.69 | $144.69 | $144.69 | |
Aetna
| Professional | $144.69 | $228.36 | $288.95 | |
Cigna
| Facility | $515.00 | $561.00 | $751.84 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 | |
United
| Professional | $224.24 | $313.81 | $500.02 |