| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $263.03 | $354.81 | $478.63 | |
Cigna
| Professional | $389.05 | $549.54 | $794.33 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $263.03 | $371.54 | $933.25 |