| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $54.95 | $245.47 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Facility | $0.09 | $74.13 | $85.11 | |
United
| Professional | $56.23 | $66.07 | $93.33 |