| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $229.09 | $3,235.94 | |
Aetna
| Professional | $42.66 | $89.13 | $190.55 | |
Cigna
| Professional | $56.23 | $83.18 | $131.83 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $41.69 | $69.18 | $125.89 |