| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.42 | $345.42 | $345.42 | |
Aetna
| Professional | $184.00 | $211.34 | $258.57 | |
Cigna
| Professional | $232.20 | $232.20 | $232.20 | |
United
| Professional | $248.63 | $248.63 | $310.98 |