| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $16,218.10 | |
Aetna
| Professional | $100.00 | $134.90 | $169.82 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $147.91 | $147.91 | $302.00 | |
United
| Facility | $147.91 | $173.78 | $213.80 | |
United
| Professional | $107.15 | $125.89 | $173.78 |