| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.00 | $267.00 | $267.00 | |
Aetna
| Professional | $133.61 | $157.51 | $163.28 | |
Cigna
| Professional | $118.74 | $183.22 | $293.35 | |
United
| Professional | $123.84 | $186.19 | $382.66 |