| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.82 | $172.45 | $185.65 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $223.50 | $306.16 | |
United
| Professional | $179.30 | $199.47 | $299.14 |