| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.16 | $133.16 | $148.27 | |
Cigna
| Facility | $268.08 | $268.08 | $268.08 | |
Cigna
| Professional | $195.70 | $195.70 | $268.08 | |
United
| Professional | $145.75 | $162.13 | $269.04 |