| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.88 | $725.90 | $1,018.96 | |
Aetna
| Professional | $93.03 | $95.27 | $102.33 | |
Cigna
| Facility | $95.27 | $95.27 | $95.27 | |
Cigna
| Professional | $95.27 | $95.27 | $142.34 | |
United
| Professional | $100.00 | $100.00 | $144.83 |