| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $14.13 | $131.83 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $17.78 | $17.78 | $17.78 | |
United
| Facility | $0.03 | $15.49 | $18.20 | |
United
| Professional | $15.49 | $18.20 | $25.70 |