| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.10 | $156.97 | $228.95 | |
Aetna
| Professional | $156.97 | $156.97 | $156.97 | |
Cigna
| Professional | $172.37 | $172.37 | $172.37 | |
United
| Professional | $146.21 | $173.91 | $184.68 |