| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $51.29 | $69.18 | $89.13 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Facility | $107.15 | $125.89 | $151.36 | |
United
| Professional | $87.10 | $93.33 | $125.89 |