| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $2.37 | $2.49 | $2.49 | |
Cigna
| Facility | $1.95 | $1.95 | $1.95 | |
Cigna
| Professional | $1.58 | $9.38 | $11.72 | |
United
| Professional | $1.26 | $1.80 | $4.50 |