| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.51 | $89.94 | $128.36 | |
Cigna
| Facility | $88.15 | $88.15 | $88.15 | |
Cigna
| Professional | $74.93 | $74.93 | $108.90 | |
United
| Facility | $82.22 | $82.22 | $93.41 | |
United
| Professional | $48.80 | $73.20 | $110.28 |