| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $252.47 | $252.47 | $261.89 | |
Cigna
| Facility | $328.44 | $328.44 | $328.44 | |
Cigna
| Professional | $239.76 | $239.76 | $328.44 | |
United
| Professional | $217.25 | $306.04 | $461.01 |