| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.59 | $33.59 | $33.59 | |
Aetna
| Professional | $33.59 | $124.39 | $575.67 | |
Cigna
| Facility | $56.77 | $183.96 | $208.58 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
United
| Professional | $193.93 | $215.05 | $219.35 |