| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.40 | $229.75 | $229.75 | |
Aetna
| Professional | $60.03 | $90.66 | $103.35 | |
Cigna
| Facility | $106.00 | $106.00 | $106.00 | |
Cigna
| Professional | $86.71 | $106.28 | $160.40 | |
United
| Professional | $74.81 | $113.71 | $227.63 |