| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.09 | $11.09 | $12.69 | |
Cigna
| Facility | $15.39 | $15.39 | $15.39 | |
Cigna
| Professional | $11.23 | $11.23 | $11.23 | |
United
| Facility | $0.02 | $12.18 | $12.18 | |
United
| Professional | $10.18 | $13.45 | $20.23 |