| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.66 | $91.66 | $676.54 | |
Aetna
| Professional | $91.66 | $91.66 | $101.65 | |
Cigna
| Facility | $80.29 | $80.29 | $86.60 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
United
| Professional | $28.07 | $54.31 | $117.78 |