| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.49 | $180.36 | $1,046.96 | |
Aetna
| Professional | $28.57 | $181.30 | $247.91 | |
Cigna
| Professional | $171.98 | $225.60 | $328.85 | |
United
| Professional | $181.95 | $232.70 | $453.77 |