| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $72.44 | $104.71 | |
Cigna
| Facility | $72.44 | $72.44 | $95.50 | |
Cigna
| Professional | $61.66 | $72.44 | $95.50 | |
United
| Facility | $6.17 | $45.71 | $64.57 | |
United
| Professional | $41.69 | $61.66 | $107.15 |