| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.99 | $160.81 | $160.81 | |
Aetna
| Professional | $148.62 | $194.10 | $220.47 | |
Cigna
| Professional | $111.13 | $230.58 | $357.50 | |
United
| Professional | $184.17 | $236.81 | $497.94 |