| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.02 | $138.02 | $158.30 | |
Cigna
| Facility | $192.25 | $192.25 | $192.25 | |
Cigna
| Professional | $140.34 | $140.34 | $192.25 | |
United
| Professional | $127.17 | $179.07 | $613.45 |