| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.77 | $22.77 | $33.46 | |
Cigna
| Facility | $31.65 | $31.65 | $31.65 | |
Cigna
| Professional | $23.10 | $23.10 | $31.65 | |
United
| Facility | $0.04 | $25.04 | $25.04 | |
United
| Professional | $20.93 | $27.61 | $38.67 |