| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $138.04 | $199.53 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $114.82 | $134.90 | $134.90 | |
United
| Facility | $10.72 | $81.28 | $123.03 | |
United
| Professional | $72.44 | $109.65 | $181.97 |