| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $273.91 | $273.91 | $314.14 | |
Cigna
| Facility | $380.63 | $380.63 | $380.63 | |
Cigna
| Professional | $277.86 | $277.86 | $380.63 | |
United
| Professional | $251.77 | $332.03 | $500.16 |