| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.09 | $152.09 | $169.34 | |
Cigna
| Facility | $230.92 | $230.92 | $230.92 | |
Cigna
| Professional | $168.57 | $168.57 | $230.92 | |
United
| Professional | $152.75 | $184.37 | $277.72 |