| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.94 | $378.94 | $378.94 | |
Aetna
| Professional | $220.77 | $220.77 | $273.49 | |
Cigna
| Facility | $214.18 | $214.18 | $214.18 | |
Cigna
| Professional | $163.38 | $180.98 | $479.16 | |
United
| Professional | $138.38 | $329.51 | $724.92 |