| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.01 | $55.92 | $69.42 | |
Aetna
| Professional | $27.02 | $55.92 | $55.92 | |
Cigna
| Professional | $58.45 | $72.40 | $87.72 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $39.61 | $53.42 | $88.21 |