| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $77.62 | $316.23 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $83.18 | $83.18 | $83.18 | |
United
| Facility | $0.13 | $104.71 | $131.83 | |
United
| Professional | $72.44 | $85.11 | $131.83 |