| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $1,621.81 | |
Aetna
| Professional | $34.67 | $44.67 | $1,949.84 | |
Cigna
| Professional | $1,000.00 | $1,348.96 | $1,819.70 | |
United
| Professional | $38.02 | $50.12 | $58.88 |