| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.22 | $140.03 | $140.03 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $132.76 | $181.86 | |
United
| Facility | $0.23 | $143.90 | $143.90 | |
United
| Professional | $120.30 | $169.75 | $255.72 |