| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.52 | $138.52 | $138.52 | |
Aetna
| Professional | $124.29 | $141.52 | $175.67 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
United
| Professional | $135.68 | $165.33 | $241.58 |