| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.83 | $172.83 | $172.83 | |
Aetna
| Professional | $100.69 | $100.69 | $124.74 | |
Cigna
| Facility | $97.69 | $97.69 | $97.69 | |
Cigna
| Professional | $107.80 | $121.18 | $302.08 | |
United
| Professional | $120.23 | $209.97 | $330.64 |