| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $33.88 | $52.48 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $29.51 | $35.48 | $36.31 | |
United
| Facility | $3.16 | $23.44 | $33.88 | |
United
| Professional | $17.78 | $30.90 | $52.48 |