| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.53 | $132.88 | $138.86 | |
Cigna
| Facility | $170.29 | $170.29 | $170.29 | |
Cigna
| Professional | $144.75 | $144.75 | $170.29 | |
United
| Professional | $134.11 | $159.15 | $223.74 |