| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $38.90 | $67.61 | |
Cigna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $36.31 | $36.31 | $42.66 | |
United
| Facility | $2.69 | $26.92 | $51.29 | |
United
| Professional | $30.20 | $36.31 | $54.95 |