| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.70 | $716.97 | $5,901.52 | |
Aetna
| Professional | $111.22 | $222.21 | $290.70 | |
Cigna
| Professional | $133.66 | $240.71 | $462.22 | |
United
| Professional | $240.98 | $325.74 | $627.72 |