| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.02 | $206.02 | $6,907.00 | |
Aetna
| Professional | $147.94 | $151.24 | $151.24 | |
Cigna
| Professional | $136.54 | $183.89 | $261.94 | |
United
| Professional | $145.35 | $186.03 | $337.64 |