| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.95 | $79.95 | $79.95 | |
Aetna
| Professional | $54.92 | $57.70 | $57.70 | |
Cigna
| Facility | $45.19 | $45.19 | $45.19 | |
Cigna
| Professional | $80.12 | $80.12 | $100.15 | |
United
| Professional | $24.33 | $33.36 | $69.52 |