| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $40.74 | $102.33 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Facility | $0.07 | $42.66 | $50.12 | |
United
| Professional | $44.67 | $52.48 | $74.13 |