| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.69 | $146.13 | $157.18 | |
Cigna
| Facility | $221.07 | $221.07 | $221.07 | |
Cigna
| Professional | $161.38 | $161.38 | $221.07 | |
United
| Professional | $151.82 | $180.16 | $280.23 |