| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $20.89 | $53.70 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
United
| Facility | $0.03 | $24.55 | $28.18 | |
United
| Professional | $20.89 | $27.54 | $34.67 |