| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.58 | $132.96 | $134.13 | |
Cigna
| Facility | $134.41 | $134.41 | $134.41 | |
Cigna
| Professional | $114.26 | $114.26 | $162.40 | |
United
| Professional | $67.93 | $101.90 | $109.64 |