| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $173.78 | $501.19 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
United
| Facility | $0.31 | $190.55 | $218.78 | |
United
| Professional | $190.55 | $223.87 | $316.23 |