| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.78 | $143.78 | $450.84 | |
Aetna
| Professional | $88.14 | $126.41 | $143.78 | |
Cigna
| Professional | $103.22 | $157.96 | $309.64 | |
United
| Professional | $134.86 | $243.18 | $328.20 |