| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $794.33 | $870.96 | |
Aetna
| Professional | $30.20 | $44.67 | $891.25 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $380.19 | $676.08 | $1,318.26 | |
United
| Professional | $44.67 | $52.48 | $70.79 |