| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.08 | $172.35 | $193.87 | |
Cigna
| Facility | $228.28 | $228.28 | $228.28 | |
Cigna
| Professional | $166.64 | $166.64 | $228.28 | |
United
| Professional | $187.25 | $222.21 | $345.64 |