| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.81 | $155.81 | $173.48 | |
Cigna
| Facility | $236.57 | $236.57 | $236.57 | |
Cigna
| Professional | $172.70 | $172.70 | $236.57 | |
United
| Professional | $156.49 | $188.88 | $284.52 |