| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $83.18 | $147.91 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $30.90 | $74.13 | $181.97 | |
United
| Facility | $144.54 | $144.54 | $501.19 | |
United
| Professional | $33.11 | $83.18 | $204.17 |