| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.19 | $204.19 | $204.19 | |
Aetna
| Professional | $140.27 | $147.37 | $147.37 | |
Cigna
| Facility | $115.41 | $115.41 | $115.41 | |
Cigna
| Professional | $88.09 | $204.02 | $255.03 | |
United
| Professional | $62.15 | $106.54 | $177.56 |