| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.03 | $164.03 | $164.03 | |
Aetna
| Professional | $95.56 | $95.56 | $118.38 | |
Cigna
| Facility | $92.71 | $92.71 | $92.71 | |
United
| Professional | $59.90 | $85.58 | $313.79 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.03 | $164.03 | $164.03 | |
Aetna
| Professional | $95.56 | $95.56 | $118.38 | |
Cigna
| Facility | $92.71 | $92.71 | $92.71 | |
United
| Professional | $59.90 | $85.58 | $313.79 |