| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,408.76 | $5,408.76 | $5,408.76 | |
Aetna
| Professional | $2.43 | $3.80 | $3.80 | |
Cigna
| Facility | $3.57 | $3.57 | $26.06 | |
Cigna
| Professional | $3.57 | $3.57 | $20.29 | |
United
| Professional | $2.62 | $6.23 | $9.59 |