| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.52 | $172.52 | $197.88 | |
Cigna
| Facility | $252.01 | $252.01 | $252.01 | |
Cigna
| Professional | $183.97 | $183.97 | $252.01 | |
United
| Professional | $158.59 | $209.13 | $292.92 |