| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.65 | $156.30 | $177.13 | |
Cigna
| Facility | $271.68 | $271.68 | $271.68 | |
Cigna
| Professional | $198.33 | $198.33 | $271.68 | |
United
| Professional | $171.07 | $190.32 | $285.41 |