| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $1,513.56 | |
Aetna
| Professional | $173.78 | $186.21 | $199.53 | |
Cigna
| Facility | $398.11 | $416.87 | $933.25 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
United
| Facility | $295.12 | $295.12 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $309.03 |