| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $35.09 | $43.67 | |
Aetna
| Professional | $16.71 | $35.09 | $35.09 | |
Cigna
| Facility | $16.32 | $32.54 | $52.03 | |
United
| Facility | $25.07 | $25.07 | $25.07 | |
United
| Professional | $10.54 | $15.06 | $16.71 |