| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $89.13 | $199.53 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
United
| Facility | $295.12 | $295.12 | $3,090.30 | |
United
| Professional | $102.33 | $162.18 | $323.59 |