| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $239.88 | $33,113.11 | |
Aetna
| Professional | $93.33 | $93.33 | $158.49 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Professional | $93.33 | $100.00 | $107.15 |