| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $1,412.54 | |
Aetna
| Professional | $64.57 | $97.72 | $107.15 | |
Cigna
| Facility | $173.78 | $173.78 | $173.78 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $72.44 | $112.20 | $158.49 |