| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.41 | $64.41 | $64.41 | |
Cigna
| Professional | $73.93 | $73.93 | $92.41 | |
United
| Professional | $27.05 | $27.05 | $64.41 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.41 | $64.41 | $64.41 | |
Cigna
| Professional | $73.93 | $73.93 | $92.41 | |
United
| Professional | $27.05 | $27.05 | $64.41 |