| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.70 | $47.88 | $162.97 | |
Aetna
| Professional | $15.59 | $16.38 | $16.38 | |
Cigna
| Facility | $12.83 | $12.83 | $12.83 | |
Cigna
| Professional | $14.21 | $22.72 | $36.81 | |
United
| Professional | $8.28 | $11.84 | $27.59 |