| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.99 | $250.77 | $773.72 | |
Aetna
| Professional | $172.27 | $180.99 | $180.99 | |
Cigna
| Professional | $250.69 | $250.69 | $313.36 | |
United
| Professional | $76.31 | $104.67 | $218.06 |