| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.10 | $191.10 | $32,002.99 | |
Aetna
| Professional | $74.34 | $74.36 | $82.60 | |
Cigna
| Facility | $76.56 | $76.56 | $76.56 | |
Cigna
| Professional | $74.36 | $74.36 | $74.36 | |
United
| Professional | $74.36 | $78.81 | $111.54 |