| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.08 | $125.08 | $156.13 | |
Cigna
| Facility | $189.91 | $189.91 | $189.91 | |
Cigna
| Professional | $138.63 | $138.63 | $189.91 | |
United
| Professional | $136.90 | $152.30 | $252.70 |