| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $28.18 | $50.12 | |
Cigna
| Facility | $12.59 | $12.59 | $12.59 | |
Cigna
| Professional | $10.72 | $10.72 | $10.72 | |
United
| Facility | $0.02 | $17.78 | $20.89 | |
United
| Professional | $13.18 | $17.78 | $21.88 |