| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.45 | $585.45 | $6,907.00 | |
Aetna
| Professional | $1.78 | $6.25 | $86.46 | |
Aetna
| Professional | 52 | $0.89 | $1.20 | $3.00 |
Cigna
| Professional | $3.31 | $6.63 | $13.62 | |
United
| Professional | $4.91 | $7.45 | $15.59 |