| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.89 | $47.89 | $66.41 | |
Aetna
| Professional | $58.14 | $69.67 | $153.97 | |
Cigna
| Facility | $81.97 | $81.97 | $81.97 | |
Cigna
| Professional | $64.28 | $64.28 | $64.28 | |
United
| Professional | $49.76 | $71.08 | $111.23 |