| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.61 | $29.61 | $29.61 | |
Aetna
| Professional | $13.42 | $16.16 | $22.10 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $9.80 | $11.69 | $64.23 | |
United
| Professional | $17.18 | $20.86 | $30.31 |