| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $229.09 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
United
| Facility | $0.15 | $95.50 | $125.89 | |
United
| Professional | $85.11 | $102.33 | $144.54 |