| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.44 | $88.65 | $6,123.54 | |
Aetna
| Professional | $24.89 | $26.44 | $26.44 | |
Cigna
| Facility | $31.11 | $31.11 | $31.11 | |
Cigna
| Professional | $31.11 | $31.11 | $31.11 | |
United
| Professional | $31.11 | $31.11 | $31.11 |