| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $35.04 | |
Aetna
| Professional | $17.94 | $25.00 | $40.28 | |
Cigna
| Professional | $11.93 | $18.97 | $18.97 | |
United
| Facility | $0.03 | $0.03 | $0.03 | |
United
| Professional | $22.50 | $29.05 | $45.97 |