| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.44 | $107.71 | $194.57 | |
Aetna
| Professional | $105.44 | $111.12 | $194.57 | |
Cigna
| Professional | $107.81 | $173.49 | $216.99 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $402.05 | $538.49 | $964.90 |