| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.24 | $43.24 | $53.54 | |
Cigna
| Facility | $61.48 | $61.48 | $61.48 | |
Cigna
| Professional | $44.88 | $44.88 | $61.48 | |
United
| Facility | $29.60 | $29.60 | $29.60 | |
United
| Professional | $40.67 | $52.42 | $75.11 |