| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.00 | $81.59 | $12,255.56 | |
Aetna
| Professional | $79.00 | $79.00 | $94.94 | |
Cigna
| Facility | $78.56 | $78.56 | $78.56 | |
Cigna
| Professional | $79.00 | $79.00 | $79.00 | |
United
| Professional | $79.00 | $86.40 | $112.32 |