| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $117.49 | $141.25 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $83.18 | $83.18 | $97.72 | |
United
| Facility | $6.61 | $66.07 | $125.89 | |
United
| Professional | $72.44 | $93.33 | $144.54 |