| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.09 | $64.09 | $64.09 | |
Aetna
| Professional | $37.35 | $37.35 | $46.26 | |
Cigna
| Facility | $36.22 | $36.22 | $36.22 | |
Cigna
| Professional | $30.01 | $33.64 | $83.85 | |
United
| Professional | $17.39 | $33.44 | $122.63 |