| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $1,258.93 | |
Aetna
| Professional | $72.44 | $74.13 | $190.55 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 | |
United
| Professional | $74.13 | $77.62 | $85.11 |