| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $154.88 | |
Aetna
| Professional | $131.83 | $177.83 | $371.54 | |
Cigna
| Professional | $151.36 | $194.98 | $398.11 | |
United
| Professional | $112.20 | $120.23 | $467.74 |