| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.50 | $172.50 | $172.50 | |
Aetna
| Professional | $100.50 | $100.50 | $124.50 | |
Cigna
| Facility | $97.50 | $97.50 | $97.50 | |
United
| Professional | $63.00 | $90.00 | $330.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.50 | $172.50 | $172.50 | |
Aetna
| Professional | $100.50 | $100.50 | $124.50 | |
Cigna
| Facility | $97.50 | $97.50 | $97.50 | |
United
| Professional | $63.00 | $90.00 | $330.00 |