| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $251.19 | $691.83 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Facility | $0.40 | $251.19 | $288.40 | |
United
| Professional | $245.47 | $295.12 | $416.87 |