| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.58 | $299.58 | $299.58 | |
Aetna
| Professional | $174.54 | $216.22 | $216.22 | |
Cigna
| Professional | $299.43 | $299.43 | $374.28 | |
United
| Professional | $109.41 | $156.30 | $573.10 |