| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.42 | $92.83 | $105.20 | |
Cigna
| Facility | $126.98 | $126.98 | $126.98 | |
Cigna
| Professional | $92.70 | $92.70 | $92.70 | |
United
| Facility | $120.51 | $120.51 | $120.51 | |
United
| Professional | $101.61 | $127.14 | $169.52 |