| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $21.88 | $30.90 | |
Cigna
| Facility | $22.91 | $22.91 | $29.51 | |
Cigna
| Professional | $19.50 | $22.91 | $29.51 | |
United
| Facility | $1.86 | $14.13 | $20.89 | |
United
| Professional | $11.22 | $16.98 | $28.18 |