| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $39.81 | $151.36 | |
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Facility | $0.08 | $51.29 | $54.95 | |
United
| Professional | $46.77 | $54.95 | $79.43 |