| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.95 | $123.95 | $138.01 | |
Cigna
| Facility | $188.19 | $188.19 | $188.19 | |
Cigna
| Professional | $137.38 | $137.38 | $188.19 | |
United
| Professional | $124.48 | $150.25 | $226.33 |