| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $57.54 | $69.18 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $27.54 | $27.54 | $123.03 | |
United
| Facility | $52.48 | $52.48 | $66.07 | |
United
| Professional | $37.15 | $81.28 | $181.97 |