| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $1,412.54 | |
Aetna
| Professional | $40.74 | $63.10 | $87.10 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $416.87 | $416.87 | $416.87 | |
United
| Facility | $371.54 | $371.54 | $457.09 | |
United
| Professional | $15.49 | $22.39 | $39.81 |