| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $732.13 | $732.13 | $732.13 | |
Aetna
| Professional | $555.95 | $732.13 | $927.12 | |
Cigna
| Facility | $64.00 | $95.00 | $95.00 | |
Cigna
| Professional | $71.76 | $83.43 | $5,177.79 | |
Medcost
| Facility | $220.00 | $732.13 | $988.38 | |
Medcost
| Professional | $2,732.00 | $2,732.00 | $2,732.00 | |
United
| Professional | $42.26 | $77.62 | $148.80 |