| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.46 | $158.46 | $158.46 | |
Aetna
| Professional | $119.00 | $127.54 | $149.05 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
United
| Professional | $134.99 | $134.99 | $180.09 |