| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.23 | $42.23 | $48.84 | |
Cigna
| Facility | $66.72 | $66.72 | $66.72 | |
Cigna
| Professional | $48.71 | $48.71 | $66.72 | |
United
| Facility | $61.98 | $61.98 | $61.98 | |
United
| Professional | $46.09 | $51.19 | $77.12 |