| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $57.54 | $70.79 | $89.13 | |
Cigna
| Facility | $107.15 | $107.15 | $645.65 | |
Cigna
| Professional | $75.86 | $204.17 | $489.78 | |
United
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Professional | $74.13 | $95.50 | $208.93 |