| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $186.21 | |
Aetna
| Professional | $104.71 | $134.90 | $489.78 | |
Cigna
| Facility | $104.71 | $104.71 | $104.71 | |
Cigna
| Professional | $48.98 | $131.83 | $234.42 | |
United
| Professional | $35.48 | $60.26 | $245.47 |