| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.55 | $77.55 | $88.95 | |
Cigna
| Facility | $107.78 | $107.78 | $107.78 | |
Cigna
| Professional | $78.68 | $78.68 | $107.78 | |
United
| Facility | $0.14 | $85.28 | $85.28 | |
United
| Professional | $71.29 | $94.01 | $141.62 |