| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.15 | $159.44 | $180.36 | |
Cigna
| Facility | $292.48 | $292.48 | $292.48 | |
Cigna
| Professional | $213.51 | $213.51 | $292.48 | |
United
| Professional | $174.20 | $206.71 | $321.55 |