| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $348.79 | $348.79 | $348.79 | |
Cigna
| Facility | $360.89 | $360.89 | $360.89 | |
Cigna
| Professional | $1,509.19 | $1,509.19 | $1,509.19 | |
United
| Professional | $200.67 | $563.57 | $567.33 |