| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.46 | $238.46 | $262.30 | |
Cigna
| Facility | $268.08 | $268.08 | $268.08 | |
Cigna
| Professional | $238.46 | $238.46 | $238.46 | |
United
| Professional | $238.46 | $265.45 | $1,089.83 |