| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.90 | $161.90 | $200.53 | |
Aetna
| Professional | $135.10 | $161.90 | $200.53 | |
Cigna
| Facility | $213.11 | $213.11 | $213.11 | |
Cigna
| Professional | $164.86 | $863.74 | $863.74 | |
United
| Professional | $165.14 | $226.81 | $308.91 |