| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.00 | $225.00 | $225.00 | |
Aetna
| Professional | $225.00 | $225.00 | $399.10 | |
Cigna
| Facility | $132.22 | $192.15 | $471.70 | |
Cigna
| Professional | $104.49 | $130.61 | $1,362.48 | |
United
| Facility | $68.34 | $68.34 | $68.34 |