| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $812.83 | $1,000.00 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 | |
United
| Facility | $58.88 | $64.57 | $2,089.30 | |
United
| Professional | $61.66 | $107.15 | $263.03 |