| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.61 | $114.26 | $117.39 | |
Cigna
| Facility | $98.45 | $98.45 | $98.45 | |
Cigna
| Professional | $83.68 | $83.68 | $98.45 | |
United
| Facility | $10.64 | $79.81 | $125.06 | |
United
| Professional | $62.61 | $93.91 | $117.39 |