| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $28.18 | $50.12 | |
Cigna
| Facility | $12.59 | $12.59 | $12.59 | |
Cigna
| Professional | $10.72 | $10.72 | $12.59 | |
United
| Facility | $17.78 | $17.78 | $20.89 | |
United
| Professional | $9.12 | $20.89 | $47.86 |