| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $524.81 | $1,995.26 | |
Aetna
| Professional | 50 | $446.68 | $3,388.44 | $3,630.78 |
Cigna
| Professional | $100.00 | $446.68 | $1,288.25 | |
United
| Professional | $134.90 | $645.65 | $1,584.89 |