| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $1,412.54 | |
Aetna
| Professional | $114.82 | $169.82 | $251.19 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $120.23 | $251.19 | $501.19 |