| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.66 | $151.66 | $215.91 | |
Aetna
| Professional | $87.59 | $122.60 | $151.66 | |
Cigna
| Facility | $79.22 | $79.22 | $79.22 | |
Cigna
| Professional | $94.56 | $160.69 | $219.26 | |
United
| Professional | $115.31 | $139.94 | $219.37 |