| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.30 | $270.00 | $285.73 | |
Cigna
| Facility | $338.00 | $338.00 | $338.00 | |
Cigna
| Professional | $287.30 | $338.00 | $338.00 | |
United
| Professional | $127.97 | $210.11 | $385.97 |