| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.89 | $235.81 | $254.39 | |
Cigna
| Facility | $238.16 | $238.16 | $238.16 | |
Cigna
| Professional | $202.44 | $202.44 | $287.73 | |
United
| Professional | $123.84 | $193.25 | $291.38 |