| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.03 | $362.25 | $8,406.04 | |
Aetna
| Professional | $163.50 | $173.60 | $406.63 | |
Cigna
| Professional | $166.19 | $305.52 | $650.04 | |
United
| Professional | $332.70 | $557.27 | $899.53 |