| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $416.87 | $1,288.25 | |
Aetna
| Professional | 50 | $2,818.38 | $2,884.03 | $2,884.03 |
Cigna
| Professional | $138.04 | $416.87 | $1,174.90 | |
United
| Professional | $239.88 | $707.95 | $1,412.54 |