| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $97.72 | $138.04 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $81.28 | $95.50 | $100.00 | |
United
| Facility | $8.13 | $60.26 | $83.18 | |
United
| Professional | $52.48 | $147.91 | $165.96 |