| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.14 | $81.73 | $120.85 | |
Cigna
| Facility | $78.06 | $78.06 | $78.06 | |
Cigna
| Professional | $77.67 | $110.75 | $217.65 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $101.24 | $126.64 | $280.54 |