| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.60 | $120.64 | $129.87 | |
Cigna
| Facility | $177.64 | $177.64 | $177.64 | |
Cigna
| Professional | $129.68 | $129.68 | $177.64 | |
United
| Professional | $125.44 | $139.55 | $209.27 |