| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $1,174.90 | $1,862.09 | |
Aetna
| Professional | $87.10 | $107.15 | $245.47 | |
Cigna
| Professional | $87.10 | $125.89 | $199.53 | |
United
| Professional | $85.11 | $107.15 | $173.78 |