| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.49 | $194.98 | $870.96 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
United
| Facility | $0.32 | $263.03 | $302.00 | |
United
| Professional | $194.98 | $234.42 | $331.13 |