| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $20.89 | $34.67 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $19.50 | $19.50 | $22.91 | |
United
| Facility | $1.29 | $13.49 | $25.12 | |
United
| Professional | $14.13 | $17.78 | $25.70 |