| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.81 | $114.81 | $127.84 | |
Cigna
| Facility | $174.32 | $174.32 | $174.32 | |
Cigna
| Professional | $127.25 | $127.25 | $174.32 | |
United
| Professional | $115.31 | $139.18 | $209.65 |