| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.65 | $163.12 | $184.33 | |
Cigna
| Facility | $228.90 | $228.90 | $228.90 | |
Cigna
| Professional | $194.57 | $194.57 | $228.90 | |
United
| Professional | $178.04 | $211.27 | $328.62 |