| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $102.33 | $173.78 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $51.29 | $60.26 | $60.26 | |
United
| Facility | $6.76 | $67.61 | $125.89 | |
United
| Professional | $70.79 | $95.50 | $141.25 |