| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.35 | $27.65 | $42.06 | |
Cigna
| Facility | $25.20 | $25.20 | $25.20 | |
Cigna
| Professional | $30.01 | $48.89 | $77.83 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $38.06 | $50.73 | $97.38 |