| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.91 | $108.35 | $559.44 | |
Aetna
| Professional | $105.81 | $105.81 | $108.36 | |
Cigna
| Facility | $80.08 | $108.36 | $108.36 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
United
| Professional | $106.24 | $106.24 | $109.43 |