| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $29.51 | $29.51 | |
Aetna
| Professional | $18.62 | $20.89 | $75.86 | |
Cigna
| Facility | $16.60 | $16.60 | $16.60 | |
Cigna
| Professional | $14.13 | $29.51 | $37.15 | |
United
| Professional | $9.77 | $14.79 | $38.02 |