| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $52.48 | $87.10 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $38.02 | $38.02 | $44.67 | |
United
| Facility | $3.55 | $35.48 | $67.61 | |
United
| Professional | $32.36 | $45.71 | $60.26 |