| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.48 | $81.48 | $81.48 | |
Aetna
| Professional | $61.98 | $81.48 | $98.52 | |
Cigna
| Professional | $785.24 | $785.24 | $785.24 | |
United
| Professional | $1,222.85 | $1,438.66 | $1,438.66 |