| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.49 | $169.82 | $2,511.89 | |
Aetna
| Professional | $181.97 | $2,290.87 | $35,481.34 | |
Cigna
| Facility | $269.15 | $269.15 | $269.15 | |
Cigna
| Professional | $229.09 | $229.09 | $269.15 |