| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.73 | $34,781.47 | $36,780.41 | |
Aetna
| Professional | $89.34 | $136.15 | $3,188.76 | |
Cigna
| Professional | $89.34 | $89.34 | $89.34 | |
United
| Professional | $94.70 | $134.01 | $628.96 |