| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $251.19 | $323.59 | |
Aetna
| Professional | $112.20 | $173.78 | $478.63 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $138.04 | $181.97 | $323.59 | |
United
| Professional | $177.83 | $229.09 | $478.63 |