| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.10 | $270.89 | $307.00 | |
Cigna
| Facility | $444.49 | $444.49 | $444.49 | |
Cigna
| Professional | $324.48 | $324.48 | $444.49 | |
United
| Facility | $108.00 | $108.00 | $108.00 | |
United
| Professional | $296.50 | $351.84 | $1,204.09 |