| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.03 | $140.34 | $140.34 | |
Cigna
| Facility | $188.22 | $188.22 | $188.22 | |
Cigna
| Professional | $137.40 | $137.40 | $188.22 | |
United
| Facility | $204.62 | $204.62 | $204.62 | |
United
| Professional | $136.44 | $170.12 | $229.97 |