| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.09 | $100.09 | $121.36 | |
Cigna
| Facility | $101.80 | $101.80 | $101.80 | |
Cigna
| Professional | $100.09 | $100.09 | $100.09 | |
United
| Professional | $100.09 | $106.10 | $150.13 |