| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.88 | $1,342.00 | $3,804.00 | |
Aetna
| Professional | $220.88 | $349.97 | $422.73 | |
Cigna
| Facility | $515.00 | $561.00 | $930.22 | |
United
| Facility | $505.00 | $1,106.00 | $2,558.00 | |
United
| Professional | $350.09 | $462.76 | $749.93 |