| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $10.96 | $64.57 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $12.30 | $12.30 | $12.30 | |
United
| Facility | $0.02 | $15.49 | $19.05 | |
United
| Professional | $11.48 | $13.49 | $19.05 |