| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
Cigna
| Facility | $0.37 | $0.37 | $0.37 | |
Cigna
| Professional | $0.37 | $0.37 | $4.68 | |
United
| Facility | $0.45 | $0.45 | $2.24 | |
United
| Professional | $0.37 | $0.37 | $0.55 |