| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $269.15 | $707.95 | |
Aetna
| Professional | 50 | $1,479.11 | $1,548.82 | $2,818.38 |
Cigna
| Professional | $114.82 | $331.13 | $616.60 | |
United
| Professional | $194.98 | $380.19 | $741.31 |