| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,552.77 | $1,552.77 | $1,552.77 | |
Aetna
| Professional | $4.45 | $4.45 | $5.28 | |
Cigna
| Facility | $4.49 | $4.49 | $4.49 | |
Cigna
| Professional | $4.45 | $4.45 | $4.45 | |
United
| Professional | $4.45 | $4.94 | $9.78 |