| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.86 | $98.24 | $1,508.18 | |
Aetna
| Professional | $55.09 | $87.28 | $103.53 | |
Cigna
| Professional | $64.08 | $97.90 | $170.50 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $84.34 | $120.52 | $215.46 |