| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.27 | $134.83 | $252.83 | |
Aetna
| Professional | $123.57 | $134.83 | $150.00 | |
Cigna
| Professional | $148.32 | $148.32 | $148.32 | |
United
| Professional | $132.43 | $156.27 | $158.91 |