| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.94 | $171.48 | $183.77 | |
Cigna
| Facility | $277.45 | $277.45 | $277.45 | |
Cigna
| Professional | $202.54 | $202.54 | $277.45 | |
United
| Professional | $129.26 | $219.05 | $710.93 |