| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.10 | $152.76 | $173.12 | |
Cigna
| Facility | $203.51 | $203.51 | $203.51 | |
Cigna
| Professional | $148.56 | $148.56 | $203.51 | |
United
| Professional | $167.20 | $199.25 | $278.94 |