| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.88 | $35.88 | $36.40 | |
Aetna
| Professional | $35.88 | $40.04 | $109.20 | |
Cigna
| Facility | $51.82 | $51.82 | $51.82 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
United
| Professional | $40.04 | $52.00 | $91.30 |