| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.08 | $147.59 | $167.26 | |
Cigna
| Facility | $170.54 | $170.54 | $170.54 | |
Cigna
| Professional | $124.49 | $124.49 | $170.54 | |
United
| Professional | $161.54 | $191.70 | $269.51 |