| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.60 | $54.60 | $60.80 | |
Cigna
| Facility | $106.22 | $106.22 | $106.22 | |
Cigna
| Professional | $77.54 | $77.54 | $106.22 | |
United
| Facility | $0.11 | $65.59 | $65.59 | |
United
| Professional | $54.84 | $66.19 | $99.70 |