| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $165.96 | $263.03 | |
Aetna
| Professional | $19.95 | $30.20 | $117.49 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $21.88 | $31.62 | $53.70 | |
United
| Professional | $24.55 | $30.90 | $64.57 |