| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $85.11 | $245.47 | |
Cigna
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $109.65 | $109.65 | $109.65 | |
United
| Facility | $0.15 | $93.33 | $107.15 | |
United
| Professional | $93.33 | $109.65 | $154.88 |