| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.00 | $160.87 | $5,000.00 | |
Cigna
| Facility | $33.78 | $59.39 | $61.02 | |
Cigna
| Professional | $2,995.49 | $2,995.49 | $3,744.36 | |
United
| Professional | $14.00 | $22.50 | $22.50 |