| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.30 | $28.30 | $28.70 | |
Aetna
| Professional | $10.44 | $15.61 | $21.42 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $9.50 | $11.32 | $111.17 | |
United
| Professional | $17.13 | $21.11 | $30.55 |