| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.00 | $68.61 | $98.12 | |
Cigna
| Facility | $61.05 | $61.05 | $61.05 | |
Cigna
| Professional | $63.58 | $89.10 | $177.01 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $80.48 | $105.28 | $223.48 |