| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.14 | $74.14 | $110.06 | |
Cigna
| Facility | $116.53 | $116.53 | $116.53 | |
Cigna
| Professional | $85.07 | $85.07 | $85.07 | |
United
| Facility | $91.72 | $91.72 | $91.72 | |
United
| Professional | $74.45 | $89.87 | $135.38 |