| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.52 | $319.38 | $368.48 | |
Cigna
| Facility | $338.00 | $338.00 | $338.00 | |
Cigna
| Professional | $46.37 | $287.30 | $338.00 | |
United
| Professional | $136.34 | $204.50 | $390.47 |