| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.14 | $247.86 | $324.00 | |
Aetna
| Professional | $161.69 | $171.33 | $192.34 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $138.43 | $170.87 | $252.67 | |
United
| Professional | $177.58 | $243.24 | $475.60 |