| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.34 | $190.34 | $190.34 | |
Aetna
| Professional | $110.89 | $110.89 | $137.37 | |
Cigna
| Facility | $107.58 | $107.58 | $107.58 | |
Cigna
| Professional | $227.25 | $227.25 | $227.25 | |
United
| Professional | $69.51 | $99.55 | $364.12 |