| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.14 | $147.11 | $161.82 | |
Cigna
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $98.55 | $203.45 | $219.65 | |
United
| Professional | $110.95 | $133.51 | $186.99 |