| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,261.52 | $1,261.52 | $6,907.00 | |
Aetna
| Professional | $56.04 | $88.23 | $103.59 | |
Cigna
| Professional | $64.78 | $99.08 | $171.14 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $84.98 | $121.81 | $217.04 |