| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.05 | $181.97 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $24.55 | $24.55 | $24.55 | |
United
| Facility | $0.03 | $21.88 | $25.12 | |
United
| Professional | $21.38 | $25.70 | $36.31 |