| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.43 | $222.91 | $324.80 | |
Aetna
| Professional | $177.68 | $195.83 | $305.22 | |
Cigna
| Professional | $215.17 | $215.17 | $215.17 | |
United
| Professional | $192.12 | $217.10 | $230.54 |