| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $95.50 | $112.20 | |
Cigna
| Professional | $114.82 | $114.82 | $114.82 | |
United
| Facility | $295.12 | $295.12 | $3,090.30 | |
United
| Professional | $112.20 | $177.83 | $354.81 |