| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $20.89 | $25.12 | |
Cigna
| Facility | $54.95 | $54.95 | $54.95 | |
Cigna
| Professional | $39.81 | $39.81 | $54.95 | |
United
| Facility | $19.50 | $19.50 | $24.55 | |
United
| Professional | $13.49 | $30.20 | $66.07 |