| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.02 | $149.02 | $149.02 | |
Aetna
| Professional | $120.55 | $149.02 | $192.60 | |
Cigna
| Professional | $18.50 | $182.29 | $182.29 | |
United
| Professional | $142.22 | $217.35 | $436.49 |