| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.36 | $221.36 | $221.36 | |
Aetna
| Professional | $221.36 | $238.49 | $238.49 | |
Cigna
| Facility | $271.04 | $404.21 | $496.55 | |
Cigna
| Professional | $182.47 | $289.19 | $1,113.18 | |
United
| Professional | $150.62 | $210.73 | $393.36 |