| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.30 | $119.30 | $175.27 | |
Cigna
| Facility | $176.58 | $176.58 | $176.58 | |
Cigna
| Professional | $128.90 | $220.60 | $238.16 | |
United
| Professional | $109.66 | $144.61 | $217.84 |