| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $181.97 | $239.88 | $323.59 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $199.53 | $407.38 | $1,202.26 |