| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $25.70 | $93.33 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Facility | $0.05 | $33.88 | $38.02 | |
United
| Professional | $26.30 | $30.90 | $48.98 |