| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $69.18 | $181.97 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Facility | $0.12 | $83.18 | $100.00 | |
United
| Professional | $75.86 | $89.13 | $125.89 |