| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $23.99 | $229.09 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $26.92 | $26.92 | $26.92 | |
United
| Facility | $0.04 | $26.92 | $31.62 | |
United
| Professional | $26.92 | $31.62 | $44.67 |