| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.48 | $102.53 | $179.02 | |
Aetna
| Professional | $44.97 | $64.48 | $159.75 | |
Cigna
| Professional | $74.03 | $101.17 | $231.65 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $95.46 | $141.22 | $250.45 |