| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.79 | $130.91 | $141.37 | |
Aetna
| Professional | $52.49 | $122.37 | $159.27 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
United
| Professional | $159.60 | $223.22 | $411.29 | |
Well Sense
| Professional | $124.07 | $148.88 | $234.99 |