| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.30 | $95.06 | $97.28 | |
Cigna
| Professional | $108.00 | $108.00 | $108.00 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $107.12 | $164.77 | $303.66 |