| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $97.72 | $125.89 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $63.10 | $125.89 | $158.49 | |
United
| Facility | $42.66 | $42.66 | $42.66 | |
United
| Professional | $44.67 | $72.44 | $169.82 |