| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $309.03 | |
Aetna
| Professional | $19.05 | $30.90 | $83.18 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $22.91 | $32.36 | $51.29 |