| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $63.10 | $77.62 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Facility | $32.36 | $40.74 | $77.62 | |
United
| Professional | $61.66 | $64.57 | $72.44 |