| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.41 | $238.41 | $238.41 | |
Aetna
| Professional | $138.90 | $138.90 | $172.07 | |
Cigna
| Professional | $105.49 | $116.85 | $309.37 | |
United
| Professional | $87.07 | $124.39 | $456.08 |