| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $19.05 | $32.36 | |
Cigna
| Facility | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $17.78 | $17.78 | $20.89 | |
United
| Facility | $1.38 | $13.80 | $26.30 | |
United
| Professional | $12.59 | $17.38 | $23.44 |