| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.86 | $132.49 | $142.63 | |
Cigna
| Facility | $197.02 | $197.02 | $197.02 | |
Cigna
| Professional | $143.82 | $143.82 | $197.02 | |
United
| Facility | $136.63 | $136.63 | $136.63 | |
United
| Professional | $137.76 | $163.47 | $233.48 |