| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.04 | $132.04 | $170.85 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
United
| Professional | $181.19 | $211.96 | $332.53 |