| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.66 | $163.33 | $233.11 | |
Cigna
| Facility | $178.39 | $178.39 | $178.39 | |
Cigna
| Professional | $130.22 | $130.22 | $209.38 | |
United
| Professional | $90.12 | $132.94 | $200.25 |