| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.88 | $130.00 | $149.86 | |
Aetna
| Professional | $103.60 | $127.68 | $163.86 | |
Cigna
| Professional | $115.59 | $161.31 | $235.60 | |
United
| Professional | $102.11 | $128.03 | $276.77 |