| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.64 | $43.80 | $83.97 | |
Cigna
| Facility | $66.72 | $66.72 | $66.72 | |
Cigna
| Professional | $42.04 | $74.00 | $151.49 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $68.94 | $84.00 | $188.92 |