| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $74.13 | $173.78 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $42.66 | $42.66 | $47.86 | |
United
| Facility | $0.07 | $44.67 | $51.29 | |
United
| Professional | $46.77 | $54.95 | $79.43 |