| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.15 | $102.59 | $105.50 | |
Cigna
| Professional | $115.50 | $115.50 | $115.50 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $115.93 | $199.00 | $328.62 |