| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.01 | $239.86 | $239.86 | |
Aetna
| Professional | $239.86 | $239.86 | $239.86 | |
Cigna
| Professional | $263.38 | $263.38 | $263.38 | |
United
| Professional | $235.16 | $277.49 | $282.19 |