| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.78 | $133.78 | $133.78 | |
Aetna
| Professional | $131.09 | $143.94 | $168.23 | |
Cigna
| Professional | $188.67 | $188.67 | $188.67 | |
United
| Professional | $129.38 | $164.22 | $224.66 |