| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.32 | $124.14 | $2,485.84 | |
Aetna
| Professional | $51.33 | $115.43 | $204.91 | |
Cigna
| Facility | $111.07 | $111.07 | $111.07 | |
Cigna
| Professional | $72.36 | $131.91 | $239.48 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $104.81 | $165.93 | $288.22 |