| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.52 | $155.44 | $155.44 | |
Cigna
| Facility | $180.71 | $180.71 | $180.71 | |
Cigna
| Professional | $131.91 | $131.91 | $180.71 | |
United
| Professional | $131.01 | $188.44 | $314.06 |