| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $19.50 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
United
| Facility | $14.79 | $14.79 | $14.79 | |
United
| Professional | $0.50 | $22.91 | $22.91 |