| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $219.49 | $233.91 | $248.74 | |
Cigna
| Facility | $340.42 | $340.42 | $340.42 | |
Cigna
| Professional | $248.51 | $248.51 | $340.42 | |
United
| Professional | $240.25 | $280.57 | $383.26 |