| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $3,235.94 | $10,964.78 | |
Aetna
| Professional | $128.82 | $229.09 | $380.19 | |
Cigna
| Professional | $128.82 | $169.82 | $234.42 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $102.33 | $147.91 | $245.47 |