| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.30 | $59.88 | $59.88 | |
Aetna
| Professional | $23.30 | $25.96 | $31.73 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $41.89 | $84.66 | $117.60 | |
United
| Professional | $29.21 | $38.26 | $88.59 |