| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.91 | $81.91 | $500.05 | |
Aetna
| Professional | $56.27 | $59.12 | $59.12 | |
Cigna
| Facility | $46.30 | $46.30 | $46.30 | |
Cigna
| Professional | $37.47 | $81.77 | $102.22 | |
United
| Professional | $25.95 | $42.74 | $73.12 |