| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $91.20 | $398.11 | |
Cigna
| Facility | $173.78 | $173.78 | $173.78 | |
Cigna
| Professional | $125.89 | $125.89 | $125.89 | |
United
| Facility | $0.16 | $131.83 | $151.36 | |
United
| Professional | $89.13 | $107.15 | $151.36 |