| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $22.91 | $44.67 | |
Cigna
| Facility | $34.67 | $34.67 | $34.67 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Facility | $0.04 | $22.91 | $26.92 | |
United
| Professional | $22.91 | $26.92 | $38.02 |