| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.25 | $158.16 | $170.28 | |
Cigna
| Facility | $274.64 | $274.64 | $274.64 | |
Cigna
| Professional | $200.49 | $200.49 | $274.64 | |
United
| Professional | $164.46 | $195.16 | $278.73 |