| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $102.33 | $147.91 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $85.11 | $100.00 | $102.33 | |
United
| Facility | $8.91 | $66.07 | $93.33 | |
United
| Professional | $54.95 | $95.50 | $158.49 |