| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $131.59 | $131.59 | |
Cigna
| Facility | $55.75 | $55.75 | $55.75 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $33.36 | $45.74 | $95.30 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $131.59 | $131.59 | |
Cigna
| Facility | $55.75 | $55.75 | $55.75 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $33.36 | $45.74 | $95.30 |