| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.55 | $94.57 | $172.57 | |
Aetna
| Professional | $92.55 | $97.33 | $172.57 | |
Cigna
| Professional | $94.58 | $153.85 | $195.44 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $315.01 | $579.62 | $877.80 |