| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,288.25 | $3,890.45 | |
Aetna
| Professional | $223.87 | $870.96 | $1,230.27 | |
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 | |
United
| Professional | $630.96 | $1,071.52 | $1,479.11 |