| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.92 | $20.92 | $23.99 | |
Cigna
| Facility | $36.33 | $36.33 | $36.33 | |
Cigna
| Professional | $26.52 | $26.52 | $26.52 | |
United
| Facility | $0.04 | $23.01 | $23.01 | |
United
| Professional | $19.23 | $25.37 | $42.28 |