| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $177.83 | |
Aetna
| Professional | $22.91 | $28.84 | $41.69 | |
Cigna
| Facility | $1.15 | $45.71 | $77.62 | |
Cigna
| Professional | $12.30 | $43.65 | $138.04 | |
United
| Facility | $478.63 | $478.63 | $478.63 | |
United
| Professional | $10.96 | $14.79 | $25.70 |