| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $4,168.69 | $4,168.69 | |
Aetna
| Professional | $1.00 | $1.00 | $1.23 | |
Cigna
| Facility | $1.17 | $1.23 | $85.11 | |
Cigna
| Professional | $1.23 | $5.37 | $5.37 | |
United
| Facility | $1.23 | $1.23 | $1.23 | |
United
| Professional | $1.20 | $1.23 | $1.70 |