| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.65 | $101.41 | $114.92 | |
Cigna
| Facility | $175.58 | $175.58 | $175.58 | |
Cigna
| Professional | $128.16 | $128.16 | $175.58 | |
United
| Professional | $110.99 | $131.69 | $185.17 |