| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.94 | $148.49 | $155.19 | |
Cigna
| Facility | $220.51 | $220.51 | $220.51 | |
Cigna
| Professional | $160.97 | $160.97 | $220.51 | |
United
| Professional | $149.88 | $177.86 | $608.66 |