| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $25.12 | $239.88 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Facility | $0.05 | $28.18 | $33.11 | |
United
| Professional | $28.18 | $33.11 | $46.77 |