| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $61.66 | $79.43 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $48.98 | $48.98 | $57.54 | |
United
| Facility | $4.90 | $37.15 | $89.13 | |
United
| Professional | $45.71 | $74.13 | $104.71 |