| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.35 | $147.35 | $164.06 | |
Cigna
| Facility | $227.07 | $227.07 | $227.07 | |
Cigna
| Professional | $165.76 | $165.76 | $227.07 | |
United
| Professional | $161.27 | $179.42 | $242.15 |