| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $33.88 | $151.36 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $45.71 | $52.48 | $52.48 | |
United
| Professional | $34.67 | $40.74 | $57.54 |