| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $30.90 | $47.86 | |
Cigna
| Facility | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $28.18 | $33.11 | $33.88 | |
United
| Facility | $2.88 | $21.88 | $32.36 | |
United
| Professional | $16.60 | $26.92 | $44.67 |