| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $1,071.52 | $2,454.71 | |
Aetna
| Professional | $660.69 | $758.58 | $1,122.02 | |
Cigna
| Professional | $776.25 | $1,122.02 | $1,258.93 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $645.65 | $851.14 | $1,348.96 |