| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $158.49 | $223.87 | |
Cigna
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $107.15 | $125.89 | $269.15 | |
United
| Facility | $13.18 | $16.60 | $478.63 | |
United
| Professional | $7.94 | $26.92 | $53.70 |