| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.16 | $14.16 | $16.25 | |
Cigna
| Facility | $23.58 | $23.58 | $23.58 | |
Cigna
| Professional | $17.21 | $17.21 | $23.58 | |
United
| Facility | $0.03 | $15.57 | $15.57 | |
United
| Professional | $13.01 | $17.16 | $25.85 |