| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $245.47 | |
Aetna
| Professional | $97.72 | $107.15 | $257.04 | |
Cigna
| Professional | $89.13 | $128.82 | $190.55 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $85.11 | $117.49 | $177.83 |