| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.46 | $112.07 | $120.64 | |
Cigna
| Facility | $161.63 | $161.63 | $161.63 | |
Cigna
| Professional | $117.99 | $117.99 | $161.63 | |
United
| Facility | $0.21 | $170.54 | $170.54 | |
United
| Professional | $116.52 | $138.27 | $473.18 |