| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.16 | $83.16 | $123.23 | |
Cigna
| Facility | $136.19 | $136.19 | $136.19 | |
Cigna
| Professional | $99.43 | $99.43 | $136.19 | |
United
| Facility | $63.10 | $63.10 | $63.10 | |
United
| Professional | $83.37 | $100.80 | $369.60 |