| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $489.78 | $489.78 | $50,118.72 | |
Cigna
| Professional | $38.90 | $38.90 | $38.90 | |
United
| Professional | $34.67 | $50.12 | $60.26 |