| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.13 | $160.40 | $1,434.28 | |
Aetna
| Professional | $58.13 | $116.07 | $137.91 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $57.91 | $129.30 | $226.24 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $114.13 | $143.08 | $308.57 |