| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $28.18 | $39.81 | |
Cigna
| Professional | $27.54 | $27.54 | $35.48 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
United
| Professional | $28.18 | $37.15 | $50.12 | |
University Health Alliance
| Professional | $29.51 | $29.51 | $29.51 |