| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.97 | $162.97 | $162.97 | |
Aetna
| Professional | $162.97 | $162.97 | $162.97 | |
Cigna
| Facility | $182.88 | $224.05 | $373.46 | |
Cigna
| Professional | $203.81 | $203.81 | $203.81 | |
United
| Professional | $154.83 | $184.17 | $195.58 |