| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $61.66 | $158.49 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Facility | $0.09 | $56.23 | $66.07 | |
United
| Professional | $64.57 | $81.28 | $114.82 |