| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.51 | $174.18 | $208.71 | |
Cigna
| Facility | $305.27 | $305.27 | $305.27 | |
Cigna
| Professional | $222.85 | $222.85 | $305.27 | |
United
| Professional | $175.69 | $208.47 | $293.10 |