| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.90 | $56.32 | $68.26 | |
Cigna
| Facility | $99.25 | $99.25 | $99.25 | |
Cigna
| Professional | $72.45 | $72.45 | $72.45 | |
United
| Facility | $0.10 | $82.54 | $82.54 | |
United
| Professional | $56.80 | $67.40 | $104.57 |