| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.26 | $97.26 | $17,476.09 | |
Aetna
| Professional | $97.26 | $106.05 | $151.56 | |
Cigna
| Facility | $200.58 | $200.58 | $200.58 | |
Cigna
| Professional | $147.91 | $147.91 | $838.78 | |
United
| Facility | $565.74 | $565.74 | $565.74 | |
United
| Professional | $342.87 | $342.87 | $365.70 |