| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.03 | $36.03 | $36.03 | |
Aetna
| Professional | $24.75 | $26.00 | $26.00 | |
Cigna
| Facility | $20.36 | $20.36 | $20.36 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
United
| Professional | $10.97 | $13.16 | $31.33 |