| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $20.89 | $95.50 | |
Cigna
| Facility | $29.51 | $29.51 | $29.51 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Facility | $0.04 | $31.62 | $52.48 | |
United
| Professional | $21.38 | $25.70 | $36.31 |