| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $85.79 | $217.07 | $250.81 | |
Cigna
| Professional | $115.19 | $183.20 | $397.27 | |
United
| Facility | $5,000.00 | $5,000.00 | $5,000.00 | |
United
| Professional | $266.44 | $342.55 | $768.29 |