| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.24 | $208.24 | $266.52 | |
Aetna
| Professional | $112.59 | $208.24 | $208.24 | |
Cigna
| Professional | $155.77 | $237.32 | $295.95 | |
United
| Professional | $150.37 | $196.10 | $346.40 |