| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.34 | $132.34 | $141.46 | |
Cigna
| Facility | $196.21 | $196.21 | $196.21 | |
Cigna
| Professional | $143.22 | $143.22 | $196.21 | |
United
| Professional | $137.40 | $161.15 | $267.39 |