| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $1,000.00 | |
Aetna
| Professional | $34.67 | $44.67 | $1,202.26 | |
Cigna
| Professional | $602.56 | $812.83 | $1,071.52 | |
United
| Professional | $38.02 | $50.12 | $58.88 |