| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $380.19 | $562.34 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $316.23 | $316.23 | $380.19 | |
United
| Facility | $28.84 | $257.04 | $467.74 | |
United
| Professional | $288.40 | $380.19 | $562.34 |