| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.91 | $169.96 | $294.48 | |
Aetna
| Professional | $160.37 | $181.00 | $264.89 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
United
| Professional | $158.41 | $188.43 | $200.10 |