| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.44 | $26.44 | $48,213.75 | |
Aetna
| Professional | $25.20 | $26.44 | $26.44 | |
Cigna
| Facility | $31.11 | $31.11 | $31.11 | |
Cigna
| Professional | $31.11 | $31.11 | $58.62 | |
United
| Professional | $27.07 | $31.11 | $37.33 |