| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.60 | $142.27 | $12,000.78 | |
Aetna
| Professional | $45.18 | $50.64 | $147.01 | |
Cigna
| Professional | $68.43 | $111.65 | $234.88 | |
United
| Professional | $163.40 | $200.36 | $475.55 |