| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $120.23 | $977.24 | |
Aetna
| Professional | $112.20 | $120.23 | $128.82 | |
Cigna
| Facility | $257.04 | $269.15 | $616.60 | |
Cigna
| Professional | $181.97 | $181.97 | $229.09 | |
United
| Facility | $190.55 | $190.55 | $190.55 | |
United
| Professional | $67.61 | $95.50 | $199.53 |