| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $79.43 | $95.50 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $102.33 | $102.33 | $169.82 | |
United
| Facility | $74.13 | $74.13 | $91.20 | |
United
| Professional | $51.29 | $112.20 | $251.19 |