| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $15.14 | $144.54 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.49 | $15.49 | $15.49 | |
United
| Facility | $0.03 | $16.98 | $19.95 | |
United
| Professional | $16.98 | $19.95 | $28.18 |