| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $51.29 | $77.62 | |
Cigna
| Facility | $53.70 | $53.70 | $70.79 | |
Cigna
| Professional | $45.71 | $53.70 | $70.79 | |
United
| Facility | $4.79 | $35.48 | $52.48 | |
United
| Professional | $26.92 | $43.65 | $72.44 |