| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.00 | $228.00 | $228.00 | |
Aetna
| Professional | $116.53 | $128.47 | $135.66 | |
Cigna
| Professional | $106.70 | $150.22 | $243.17 | |
United
| Professional | $113.08 | $146.40 | $333.34 |