| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $90.38 | $90.38 | |
Aetna
| Professional | $56.71 | $67.09 | $69.16 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $55.01 | $97.04 | $178.73 | |
United
| Professional | $61.94 | $101.88 | $172.24 |