| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.38 | $73.86 | $1,400.00 | |
Aetna
| Professional | $41.47 | $61.09 | $84.82 | |
Cigna
| Facility | $88.45 | $88.45 | $88.45 | |
Cigna
| Professional | $49.96 | $80.80 | $184.31 | |
United
| Professional | $60.85 | $93.79 | $134.21 |