| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.93 | $137.84 | $137.84 | |
Aetna
| Professional | $58.13 | $135.19 | $156.03 | |
Cigna
| Professional | $106.75 | $128.26 | $186.28 | |
United
| Professional | $116.05 | $141.83 | $228.52 |