| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $88.50 | $92.98 | $92.98 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
United
| Professional | $47.05 | $67.20 | $168.03 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $88.50 | $92.98 | $92.98 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
United
| Professional | $47.05 | $67.20 | $168.03 |