| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $35.48 | $104.71 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $0.07 | $48.98 | $87.10 | |
United
| Professional | $38.90 | $45.71 | $66.07 |