| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $95.50 | $204.17 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
United
| Facility | $0.18 | $131.83 | $154.88 | |
United
| Professional | $104.71 | $123.03 | $186.21 |