| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.49 | $227.49 | $227.49 | |
Aetna
| Professional | $153.90 | $227.49 | $250.34 | |
Cigna
| Professional | $216.38 | $216.38 | $216.38 | |
United
| Professional | $229.11 | $254.57 | $262.20 |