| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.61 | $184.27 | $212.56 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $210.68 | |
United
| Professional | $123.37 | $160.10 | $249.48 |