| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $218.78 | $218.78 | |
Aetna
| Professional | $173.78 | $181.97 | $218.78 | |
Cigna
| Facility | $186.21 | $186.21 | $354.81 | |
Cigna
| Professional | $186.21 | $1,000.00 | $1,000.00 | |
United
| Professional | $177.83 | $181.97 | $218.78 |