| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.42 | $175.19 | $188.59 | |
Cigna
| Facility | $252.68 | $252.68 | $252.68 | |
Cigna
| Professional | $194.10 | $194.10 | $252.68 | |
United
| Professional | $134.49 | $202.64 | $303.88 |