| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.04 | $20.04 | $410.76 | |
Aetna
| Professional | $20.04 | $20.04 | $37.78 | |
Cigna
| Facility | $28.23 | $32.75 | $77.91 | |
United
| Facility | $39.09 | $39.09 | $39.09 | |
United
| Professional | $18.23 | $26.06 | $43.43 |