| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.00 | $56.00 | $60.31 | |
Cigna
| Facility | $75.81 | $75.81 | $75.81 | |
Cigna
| Professional | $55.35 | $55.35 | $75.81 | |
United
| Facility | $88.00 | $88.00 | $88.00 | |
United
| Professional | $47.92 | $67.88 | $248.89 |