| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $38.02 | $165.96 | |
Cigna
| Facility | $48.98 | $48.98 | $48.98 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Facility | $0.06 | $39.81 | $58.88 | |
United
| Professional | $38.90 | $46.77 | $64.57 |