| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.49 | $373.67 | $6,907.00 | |
Aetna
| Professional | $82.89 | $100.58 | $146.56 | |
Cigna
| Professional | $87.63 | $129.84 | $184.10 | |
United
| Professional | $101.45 | $131.29 | $292.74 |