| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $261.67 | $331.43 | $375.59 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $311.80 | $427.13 | |
United
| Professional | $362.75 | $403.56 | $605.19 |