| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $309.03 | $4,677.35 | |
Aetna
| Professional | $123.03 | $309.03 | $741.31 | |
Cigna
| Professional | $117.49 | $229.09 | $537.03 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $109.65 | $234.42 | $426.58 |