| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $16.98 | $25.70 | |
Cigna
| Facility | $22.39 | $22.39 | $22.39 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
United
| Facility | $0.03 | $25.70 | $28.84 | |
United
| Professional | $16.60 | $20.42 | $28.84 |