| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.77 | $12.13 | $12.13 | |
Cigna
| Professional | $11.74 | $15.23 | $15.23 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $11.76 | $19.34 | $20.98 | |
University Health Alliance
| Professional | $29.27 | $29.27 | $29.27 |