| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.82 | $61.82 | $64.38 | |
Aetna
| Professional | $41.04 | $61.64 | $72.40 | |
Cigna
| Facility | $83.13 | $83.13 | $83.13 | |
Cigna
| Professional | $57.73 | $57.73 | $302.45 | |
United
| Professional | $47.13 | $65.58 | $97.54 |