| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $169.82 | $208.93 | $758.58 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Professional | $97.72 | $151.36 | $562.34 |