| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.28 | $132.97 | $150.68 | |
Cigna
| Facility | $225.68 | $225.68 | $225.68 | |
Cigna
| Professional | $164.75 | $164.75 | $225.68 | |
United
| Professional | $145.54 | $161.91 | $229.57 |