| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.14 | $76.45 | $370.00 | |
Aetna
| Professional | $48.91 | $55.62 | $56.74 | |
Cigna
| Facility | $659.16 | $659.16 | $659.16 | |
Cigna
| Professional | $45.66 | $99.89 | $254.32 | |
United
| Professional | $51.42 | $135.71 | $273.22 |