| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $95.50 | $100.00 | $120.23 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $63.10 | $125.89 | $158.49 | |
United
| Professional | $51.29 | $70.79 | $181.97 |