| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.50 | $263.00 | $263.01 | |
Cigna
| Facility | $230.00 | $250.00 | $423.00 | |
Cigna
| Professional | $150.00 | $337.67 | $422.09 | |
United
| Professional | $282.97 | $282.97 | $282.97 |