| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.64 | $29.98 | $529.91 | |
Aetna
| Professional | $20.60 | $21.64 | $21.64 | |
Cigna
| Facility | $16.95 | $16.95 | $16.95 | |
Cigna
| Professional | $18.64 | $30.15 | $48.59 | |
United
| Professional | $10.95 | $15.64 | $36.42 |