| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.66 | $187.34 | $206.08 | |
Cigna
| Facility | $184.69 | $184.69 | $194.92 | |
Cigna
| Professional | $142.29 | $142.29 | $194.92 | |
United
| Professional | $128.93 | $172.94 | $634.13 |