| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.92 | $100.28 | $109.83 | |
Cigna
| Facility | $159.22 | $159.22 | $159.22 | |
Cigna
| Professional | $116.23 | $116.23 | $159.22 | |
United
| Professional | $106.09 | $123.89 | $176.99 |