| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $194.98 | |
Aetna
| Professional | $144.54 | $295.12 | $380.19 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $186.21 | $218.78 | $281.84 |