| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $275.42 | $1,778.28 | |
Aetna
| Professional | $257.04 | $263.03 | $323.59 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Facility | $645.65 | $758.58 | $912.01 | |
United
| Professional | $257.04 | $269.15 | $302.00 |