| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $278.37 | $278.37 | $319.29 | |
Cigna
| Facility | $437.50 | $437.50 | $437.50 | |
Cigna
| Professional | $319.38 | $319.38 | $437.50 | |
United
| Professional | $266.49 | $337.45 | $1,237.30 |