| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $7,244.36 | |
Aetna
| Professional | $87.10 | $234.42 | $645.65 | |
Cigna
| Professional | $114.82 | $186.21 | $398.11 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Professional | $100.00 | $229.09 | $407.38 |