| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.69 | $92.46 | $122.30 | |
Cigna
| Facility | $80.91 | $80.91 | $80.91 | |
Cigna
| Professional | $78.53 | $112.42 | $219.55 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $94.48 | $124.45 | $278.25 |