| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.38 | $196.05 | $221.42 | |
Cigna
| Facility | $335.84 | $335.84 | $335.84 | |
Cigna
| Professional | $245.16 | $245.16 | $245.16 | |
United
| Professional | $213.86 | $253.78 | $363.97 |