| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.41 | $201.41 | $19,703.48 | |
Aetna
| Professional | $78.37 | $78.37 | $94.95 | |
Cigna
| Facility | $80.95 | $80.95 | $80.95 | |
Cigna
| Professional | $78.37 | $78.37 | $78.37 | |
United
| Professional | $78.37 | $83.07 | $117.56 |