| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $63.10 | $83.18 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Facility | $0.15 | $0.15 | $1.48 | |
United
| Professional | $11.75 | $12.59 | $12.88 |