| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.84 | $220.84 | $327.85 | |
Cigna
| Facility | $347.13 | $347.13 | $347.13 | |
Cigna
| Professional | $253.40 | $253.40 | $347.13 | |
United
| Professional | $241.72 | $267.70 | $362.93 |