| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.61 | $108.44 | $122.89 | |
Cigna
| Facility | $159.21 | $159.21 | $159.21 | |
Cigna
| Professional | $116.22 | $116.22 | $159.21 | |
United
| Professional | $118.69 | $140.85 | $198.02 |