| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $79.43 | $91.20 | |
Cigna
| Professional | $134.90 | $134.90 | $134.90 | |
United
| Facility | $1,288.25 | $1,288.25 | $3,090.30 | |
United
| Professional | $91.20 | $141.25 | $199.53 |