| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $138.04 | $173.78 | $616.60 | |
Cigna
| Professional | $100.00 | $117.49 | $309.03 | |
United
| Professional | $87.10 | $123.03 | $457.09 |