| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $87.10 | $218.78 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $81.28 | $81.28 | $81.28 | |
United
| Facility | $0.14 | $102.33 | $120.23 | |
United
| Professional | $95.50 | $112.20 | $158.49 |