| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.09 | $162.09 | $180.48 | |
Cigna
| Facility | $246.11 | $246.11 | $246.11 | |
Cigna
| Professional | $179.66 | $179.66 | $246.11 | |
United
| Professional | $162.79 | $196.49 | $720.46 |