| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $158.49 | |
Aetna
| Professional | $91.20 | $112.20 | $407.38 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $63.10 | $74.13 | $199.53 | |
United
| Professional | $57.54 | $81.28 | $302.00 |