| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.66 | $137.77 | $137.77 | |
Cigna
| Facility | $162.08 | $162.08 | $162.08 | |
Cigna
| Professional | $162.08 | $162.08 | $162.08 | |
United
| Professional | $137.68 | $162.08 | $356.58 |