| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.01 | $154.01 | $154.01 | |
Aetna
| Professional | $106.73 | $154.01 | $168.48 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $308.58 | $342.87 | $353.16 |