| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.55 | $346.55 | $346.55 | |
Aetna
| Professional | $201.90 | $201.90 | $250.12 | |
Cigna
| Facility | $195.88 | $195.88 | $195.88 | |
Cigna
| Professional | $148.47 | $164.46 | $435.41 | |
United
| Professional | $126.57 | $180.81 | $662.97 |