| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.94 | $92.94 | $103.49 | |
Cigna
| Facility | $141.12 | $141.12 | $141.12 | |
Cigna
| Professional | $103.02 | $103.02 | $103.02 | |
United
| Facility | $150.50 | $150.50 | $150.50 | |
United
| Professional | $93.35 | $112.67 | $169.72 |