| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $389.05 | |
Aetna
| Professional | $91.20 | $190.55 | $363.08 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Professional | $186.21 | $389.05 | $676.08 |