| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.68 | $151.57 | $173.54 | |
Cigna
| Facility | $244.07 | $244.07 | $244.07 | |
Cigna
| Professional | $178.17 | $178.17 | $244.07 | |
United
| Professional | $152.88 | $170.09 | $256.67 |