| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $25.70 | $39.81 | |
Cigna
| Facility | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $21.88 | $21.88 | $25.70 | |
United
| Facility | $1.78 | $16.98 | $32.36 | |
United
| Professional | $17.78 | $22.91 | $30.90 |