| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $91.20 | $138.04 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $81.28 | $95.50 | $95.50 | |
United
| Facility | $7.76 | $58.88 | $85.11 | |
United
| Professional | $50.12 | $75.86 | $131.83 |