| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $7,244.36 | |
Aetna
| Professional | $109.65 | $426.58 | $1,258.93 | |
Cigna
| Professional | $154.88 | $239.88 | $1,202.26 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Professional | $131.83 | $630.96 | $1,202.26 |