| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $97.72 | |
Aetna
| Professional | $95.50 | $114.82 | $151.36 | |
Cigna
| Facility | $302.00 | $436.52 | $436.52 | |
Cigna
| Professional | $147.91 | $147.91 | $1,548.82 | |
United
| Professional | $125.89 | $125.89 | $134.90 |