| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $29.51 | $87.10 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $38.90 | $38.90 | $38.90 | |
United
| Facility | $0.06 | $37.15 | $43.65 | |
United
| Professional | $32.36 | $38.02 | $54.95 |