| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.16 | $170.16 | $189.46 | |
Cigna
| Facility | $273.20 | $273.20 | $273.20 | |
Cigna
| Professional | $199.44 | $199.44 | $273.20 | |
United
| Professional | $170.90 | $206.27 | $315.66 |