| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.69 | $37.69 | $37.69 | |
Aetna
| Professional | $25.89 | $27.20 | $27.20 | |
Cigna
| Facility | $21.30 | $21.30 | $21.30 | |
Cigna
| Professional | $16.34 | $37.58 | $46.98 | |
United
| Professional | $11.47 | $15.73 | $32.77 |