| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $56.23 | $154.88 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
United
| Facility | $0.09 | $66.07 | $87.10 | |
United
| Professional | $61.66 | $70.79 | $102.33 |