| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $147.91 | $173.78 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
United
| Facility | $173.78 | $173.78 | $173.78 | |
United
| Professional | $72.44 | $72.44 | $173.78 |