| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $82.50 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $38.19 | $61.11 | $83.71 | |
United
| Facility | $0.11 | $65.33 | $65.33 | |
United
| Professional | $56.88 | $71.86 | $112.74 |