| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.71 | $179.71 | $248.18 | |
Aetna
| Professional | $85.58 | $138.35 | $179.71 | |
Cigna
| Facility | $92.71 | $107.54 | $255.88 | |
United
| Facility | $128.37 | $128.37 | $128.37 | |
United
| Professional | $59.90 | $85.58 | $189.24 |