| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $93.33 | $117.49 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $83.18 | $97.72 | $776.25 | |
United
| Facility | $10.72 | $79.43 | $125.89 | |
United
| Professional | $79.43 | $93.33 | $154.88 |