| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.03 | $40.03 | $40.03 | |
Aetna
| Professional | $23.32 | $23.32 | $28.89 | |
Cigna
| Facility | $22.63 | $22.63 | $22.63 | |
Cigna
| Professional | $23.09 | $25.97 | $64.58 | |
United
| Professional | $27.85 | $34.81 | $76.58 |