| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.55 | $19.55 | $19.55 | |
Aetna
| Professional | $9.57 | $19.55 | $29.45 | |
Cigna
| Facility | $23.44 | $37.04 | $61.81 | |
United
| Facility | $22.20 | $45.98 | $49.34 | |
United
| Professional | $6.25 | $8.96 | $12.96 |