| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.47 | $141.47 | $162.26 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $276.61 | $298.63 | |
United
| Professional | $130.05 | $171.50 | $258.36 |