| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.16 | $94.16 | $94.16 | |
Aetna
| Professional | $64.69 | $67.95 | $67.95 | |
Cigna
| Facility | $53.22 | $53.22 | $53.22 | |
Cigna
| Professional | $49.73 | $94.16 | $129.58 | |
United
| Professional | $33.29 | $45.66 | $95.13 |