| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $645.65 | $660.69 | |
Aetna
| Professional | $85.11 | $537.03 | $891.25 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $812.83 | $812.83 | $4,265.80 | |
United
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
United
| Professional | $501.19 | $851.14 | $1,412.54 |