| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $1,092.00 | $1,612.00 | |
Aetna
| Professional | $35.00 | $42.00 | $1,430.00 | |
Cigna
| Professional | $997.50 | $1,350.00 | $1,750.00 | |
United
| Professional | $34.85 | $50.00 | $58.00 |