| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.32 | $96.32 | $96.32 | |
Aetna
| Professional | $66.17 | $66.17 | $66.17 | |
Cigna
| Professional | $96.23 | $96.23 | $120.29 | |
United
| Professional | $29.32 | $40.20 | $125.64 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.32 | $96.32 | $96.32 | |
Aetna
| Professional | $66.17 | $66.17 | $66.17 | |
Cigna
| Professional | $96.23 | $96.23 | $120.29 | |
United
| Professional | $29.32 | $40.20 | $125.64 |