| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $131.83 | $138.04 | |
Cigna
| Facility | $123.03 | $123.03 | $147.91 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Professional | $125.89 | $147.91 | $389.05 |