| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.14 | $59.14 | $59.14 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $59.10 | $59.10 | $73.88 | |
United
| Professional | $13.94 | $20.22 | $51.43 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.14 | $59.14 | $59.14 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $59.10 | $59.10 | $73.88 | |
United
| Professional | $13.94 | $20.22 | $51.43 |