| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.81 | $130.07 | $134.97 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $105.05 | $162.21 | |
United
| Professional | $68.06 | $117.64 | $197.72 |