| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.32 | $121.32 | $135.08 | |
Cigna
| Facility | $190.69 | $190.69 | $190.69 | |
Cigna
| Professional | $139.19 | $139.19 | $190.69 | |
United
| Professional | $121.84 | $147.07 | $225.05 |