| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $281.84 | |
Aetna
| Professional | $151.36 | $158.49 | $194.98 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
United
| Professional | $72.44 | $117.49 | $288.40 |