| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $281.84 | $4,168.69 | |
Aetna
| Professional | $158.49 | $323.59 | $645.65 | |
Cigna
| Professional | $162.18 | $245.47 | $309.03 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $158.49 | $229.09 | $426.58 |