| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.85 | $156.01 | $163.02 | |
Cigna
| Facility | $231.66 | $231.66 | $231.66 | |
Cigna
| Professional | $169.11 | $169.11 | $231.66 | |
United
| Professional | $174.38 | $175.16 | $240.42 |