| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.82 | $105.46 | $3,674.48 | |
Aetna
| Professional | $83.83 | $105.46 | $121.65 | |
Cigna
| Professional | $75.04 | $101.13 | $145.01 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $89.54 | $116.06 | $165.95 |