| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.38 | $180.43 | $188.56 | |
Cigna
| Facility | $267.94 | $267.94 | $267.94 | |
Cigna
| Professional | $195.60 | $195.60 | $267.94 | |
United
| Professional | $182.11 | $216.10 | $303.82 |