| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $81.28 | $107.15 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $33.88 | $67.61 | $104.71 | |
United
| Facility | $24.55 | $24.55 | $24.55 | |
United
| Professional | $35.48 | $63.10 | $144.54 |