| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.62 | $161.16 | $168.43 | |
Cigna
| Facility | $239.35 | $239.35 | $239.35 | |
Cigna
| Professional | $174.73 | $174.73 | $174.73 | |
United
| Professional | $162.66 | $193.03 | $271.39 |