| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.21 | $102.73 | $116.42 | |
Cigna
| Facility | $138.76 | $138.76 | $138.76 | |
Cigna
| Professional | $101.29 | $101.29 | $138.76 | |
United
| Professional | $112.44 | $133.43 | $187.59 |