| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $117.49 | $173.78 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $83.18 | $97.72 | $97.72 | |
United
| Facility | $9.33 | $69.18 | $107.15 | |
United
| Professional | $63.10 | $93.33 | $154.88 |