| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.10 | $266.39 | $301.89 | |
Cigna
| Facility | $499.82 | $499.82 | $499.82 | |
Cigna
| Professional | $364.87 | $364.87 | $499.82 | |
United
| Facility | $0.46 | $382.03 | $382.03 | |
United
| Professional | $291.58 | $346.02 | $486.47 |