| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.47 | $105.24 | $105.24 | |
Aetna
| Professional | $56.26 | $92.32 | $105.24 | |
Cigna
| Facility | $63.99 | $63.99 | $63.99 | |
Cigna
| Professional | $23.06 | $27.62 | $63.79 | |
United
| Professional | $37.77 | $68.92 | $108.00 |