| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $117.49 | |
Aetna
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Facility | $77.62 | $77.62 | $144.54 | |
United
| Facility | $234.42 | $234.42 | $234.42 | |
United
| Professional | $186.21 | $194.98 | $223.87 |