| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.42 | $170.82 | $2,492.13 | |
Aetna
| Professional | $32.76 | $2,231.50 | $8,977.95 | |
Cigna
| Facility | $269.89 | $269.89 | $269.89 | |
Cigna
| Professional | $229.41 | $269.89 | $277.99 |