| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.21 | $11.46 | $12.99 | |
Cigna
| Facility | $16.62 | $16.62 | $16.62 | |
Cigna
| Professional | $12.13 | $12.13 | $16.62 | |
United
| Facility | $16.25 | $16.25 | $16.25 | |
United
| Professional | $12.54 | $14.88 | $20.92 |