| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.48 | $111.48 | $154.13 | |
Aetna
| Professional | $61.87 | $111.48 | $111.48 | |
Cigna
| Facility | $79.22 | $79.22 | $79.22 | |
Cigna
| Professional | $94.44 | $125.95 | $160.09 | |
United
| Professional | $80.78 | $102.19 | $158.05 |