| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $26.92 | $79.43 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
United
| Facility | $22.91 | $26.30 | $29.51 | |
United
| Professional | $19.50 | $21.38 | $29.51 |