| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $18.20 | $26.92 | |
Cigna
| Facility | $19.95 | $19.95 | $19.95 | |
Cigna
| Professional | $16.98 | $19.95 | $19.95 | |
United
| Facility | $1.58 | $11.75 | $16.98 | |
United
| Professional | $10.00 | $16.98 | $28.84 |