| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.75 | $28.75 | $28.75 | |
Aetna
| Professional | $16.75 | $16.75 | $20.75 | |
Cigna
| Facility | $16.25 | $16.25 | $16.25 | |
United
| Professional | $10.50 | $15.00 | $55.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.75 | $28.75 | $28.75 | |
Aetna
| Professional | $16.75 | $16.75 | $20.75 | |
Cigna
| Facility | $16.25 | $16.25 | $16.25 | |
United
| Professional | $10.50 | $15.00 | $55.00 |