| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $165.96 | |
Aetna
| Professional | $18.20 | $19.95 | $20.89 | |
Cigna
| Facility | $43.65 | $45.71 | $104.71 | |
Cigna
| Professional | $31.62 | $31.62 | $38.90 | |
United
| Facility | $32.36 | $32.36 | $32.36 | |
United
| Professional | $11.48 | $16.22 | $33.88 |