| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.04 | $79.01 | $79.01 | |
Cigna
| Professional | $78.53 | $99.97 | $99.97 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $78.17 | $126.84 | $137.01 | |
University Health Alliance
| Professional | $29.27 | $29.27 | $29.27 |