| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.90 | $7,511.46 | $30,062.97 | |
Aetna
| Professional | $31.08 | $31.08 | $2,601.04 | |
Cigna
| Professional | $19.98 | $19.98 | $19.98 | |
United
| Professional | $40.09 | $60.14 | $111.28 |