| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.27 | $218.27 | $251.65 | |
Aetna
| Professional | $171.76 | $171.76 | $218.27 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
United
| Professional | $181.39 | $212.62 | $254.18 |