| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $42.66 | $123.03 | |
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Facility | $0.07 | $46.77 | $60.26 | |
United
| Professional | $45.71 | $54.95 | $77.62 |