| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.15 | $111.15 | $135.22 | |
Cigna
| Facility | $214.95 | $214.95 | $214.95 | |
Cigna
| Professional | $156.91 | $156.91 | $214.95 | |
United
| Professional | $146.88 | $171.62 | $284.74 |