| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.47 | $130.47 | $156.52 | |
Cigna
| Facility | $205.09 | $205.09 | $205.09 | |
Cigna
| Professional | $149.72 | $149.72 | $205.09 | |
United
| Professional | $131.05 | $158.16 | $579.96 |