| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.06 | $297.06 | $297.06 | |
Cigna
| Professional | $330.79 | $330.79 | $330.79 | |
Health Alliance Plan
| Professional | $297.06 | $365.65 | $493.10 | |
United
| Professional | $364.27 | $368.47 | $389.45 |